Individual
TAYLOR BUELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4450 CAMP SWIFT RD, FORT DRUM, NY 13602
(315) 772-6730
Mailing address
9716 STATE ROUTE 812, CROGHAN, NY 13327-2207
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003875
GA
2255A2300X
Athletic Trainer
Primary
004675
NY
Other
Enumeration date
05/13/2021
Last updated
01/26/2026
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