Individual
TAYLOR BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 KROES ST NE, ROCKFORD, MI 49341-9295
(616) 824-8135
Mailing address
3276 RAU DR, SAND LAKE, MI 49343-9508
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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