NPI 1205297801

Jeremy Taylor, ATC

Practitioner Athletic Trainer Traverse City, MI

Practice location

Address: 3833 Stone Ridge Dr, Traverse City, MI 49684-7219
Phone: (231) 590-0765

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Michigan →

Registry record

NPI: 1205297801
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Mar 2016
Record last updated: 10 Mar 2016

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.