Individual
TAYLOR BALLENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SCAT, ATC
Contact information
Practice address
1300 WHEAT ST, COLUMBIA, SC 29201-4347
(803) 777-0636
Mailing address
250 CROSSBOW DR APT M24, COLUMBIA, SC 29212-0717
(412) 327-6952
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000051712
SC
Other
Enumeration date
09/12/2021
Last updated
01/07/2024
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