Individual
JEREMY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3833 STONE RIDGE DR, TRAVERSE CITY, MI 49684-7219
(231) 590-0765
Mailing address
3833 STONE RIDGE DR, TRAVERSE CITY, MI 49684-7219
(231) 590-0765
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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