Individual
TAYLOR BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY PKWY, HIGH POINT, NC 27268-0002
(704) 918-8652
Mailing address
3127 VERMILLION DR, HARRISBURG, NC 28075-9428
(704) 918-8652
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2023
Last updated
07/12/2025
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