Individual
TAYLOR VICTORIA LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
833 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205-1609
(205) 730-3190
Mailing address
1368 BRISTOL MNR, BIRMINGHAM, AL 35242-5651
(205) 994-5613
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1805
AL
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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