Individual
RYAN MATTHEW TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13151 MAGISTERIAL DR, LOUISVILLE, KY 40223-4103
(502) 587-1236
Mailing address
13602 SUREFIRE LN UNIT 204, LOUISVILLE, KY 40245-7787
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1538
KY
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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