Individual
TAYLOR L WALENDZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, AT
Contact information
Practice address
2464 BRIDLE WAY NE, BELMONT, MI 49306-7810
(616) 540-3612
Mailing address
2464 BRIDLE WAY NE, BELMONT, MI 49306-7810
(616) 540-3612
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002338
MI
Other
Enumeration date
12/29/2019
Last updated
12/29/2019
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