Individual
MICHELLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12909 E 120TH AVE, HENDERSON, CO 80640-9146
(303) 655-8892
Mailing address
16365 E 99TH AVE, COMMERCE CITY, CO 80022-7114
(303) 472-7354
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
509
CO
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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