NPI 1205334190

Alyssa Rose Taylor

Practitioner Athletic Trainer Coon Rapids, MN

Practice location

Address: 2104 Northdale Blvd NW STE 100, Coon Rapids, MN 55433
Phone: (763) 755-5495
Mailing address: 20540 Georgia Ave N, Forest Lake, MN 55025-8009

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2000033575 (MN)

Other Specialist/Technologist providers in Minnesota →

Registry record

NPI: 1205334190
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jan 2018
Record last updated: 10 Jul 2018

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.