Individual
JASON TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
1 DOT WAY, MT STERLING, IL 62353-1664
(217) 773-4411
Mailing address
27 AVIAN DR, EAST GREENBUSH, NY 12061-4128
(518) 322-8080
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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