Individual
TAYLOR THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 4TH AVE, STEVENS POINT, WI 54481-1910
(715) 280-7640
Mailing address
2425 W MAPLE RAPIDS RD, SAINT JOHNS, MI 48879-9469
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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