NPI 1326394230

Mattie Lor Rose Taylor, ATC

Practitioner Athletic Trainer Clinton Township, MI

Practice location

Address: 20696 Aldo CT, Clinton Township, MI 48038-2400
Phone: (586) 907-7087

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Michigan →

Registry record

NPI: 1326394230
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2012
Record last updated: 29 Jul 2012

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.