Individual
TAYLOR WITZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
450 LAUREL STREET, DES MOINES, IA 50314
(515) 323-6485
Mailing address
1262 OFFICE PARK RD, APARTMENT 5, WEST DES MOINES, IA 50265-2494
(712) 221-1870
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
079137
IA
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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