NPI 1205255791
Keith Taylor, ATCLAT
Practice location
- Address
- 11114 Wild Branch CT, Owings Mills, MD 21117-1778
- Phone
- (419) 305-1913
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1205255791
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Apr 2014
- Record last updated
- 10 Apr 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.