Individual
BROOKE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 BRICE, MERIDIAN, TX 76665-4517
(254) 631-7273
Mailing address
1017 BRICE, MERIDIAN, TX 76665-4517
(254) 631-7273
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
TARLETON
TX
01
—
390200000X
TARLETON
TX
Enumeration date
07/05/2022
Last updated
07/05/2022
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