NPI 1558887109

Justin Traylor, ATC

Practitioner Athletic Trainer Richland, MS

Practice location

Address: 1201 Old Highway 49 S STE 2, Richland, MS 39218-9617
Phone: (769) 233-8844

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2000006889

Other Specialist/Technologist providers in Mississippi →

Registry record

NPI: 1558887109
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2017
Record last updated: 16 Aug 2017

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.