Individual
MISS NAOMI COLLEEN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PA-C
Contact information
Practice address
1111 BAKER AVE, WHITEFISH, MT 59937-2901
(406) 862-2515
Mailing address
145 LEISURE DR, KALISPELL, MT 59901-8997
(406) 212-0299
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
ATR-LAT-LIC-52
MT
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-60482
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/03/2013
Last updated
03/17/2018
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