Individual
TAYLOR CLEEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 ASHLEY DR, SUMMERVILLE, SC 29485-5705
(843) 754-9675
Mailing address
307 ASHLEY DR, SUMMERVILLE, SC 29485-5705
(843) 754-9675
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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