Individual
TAISHI SHIGYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
20000 NW 27TH AVE, MIAMI GARDENS, FL 33056-2674
(510) 630-0190
Mailing address
20000 NW 27TH AVE, MIAMI GARDENS, FL 33056-2674
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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