Individual
TAYLOR RAE ANN GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(313) 400-4119
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(313) 400-4119
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/27/2025
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