Individual
MR. ROBERT JOHN TAYLOR JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC,CSCS,NASM-PES
Contact information
Practice address
6 LONG MEADOW VILLAGE LN, SUITE 2, NILES, MI 49120-7808
(269) 687-0945
Mailing address
1949 ORCHARD DR, STEVENSVILLE, MI 49127-9506
(269) 429-8506
(269) 687-0960
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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