Individual
TAYLOR MARIE WORDSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, OTC
Contact information
Practice address
2861 NE INDEPENDENCE AVE STE 201, LEES SUMMIT, MO 64064-2379
(816) 525-2840
(816) 525-2841
Mailing address
2861 NE INDEPENDENCE AVE STE 201, LEES SUMMIT, MO 64064-2379
(816) 525-2840
(816) 525-2841
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2020031457
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
11/02/2017
Last updated
01/12/2026
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