Individual
TAYLOR NICOLE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 LEONARD ST NE, GRAND RAPIDS, MI 49525-5832
(269) 204-8246
Mailing address
6921 CAMBRIDGE, SHELBYVILLE, MI 49344-9600
(269) 204-8246
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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