Individual
TAYLOR ANN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
(720) 401-3554
Mailing address
2084 SKYLARK CT, LONGMONT, CO 80503-7912
(720) 401-3554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A160767833
ATHLETIC TRAINER LICENSE
WA
Enumeration date
04/19/2017
Last updated
07/30/2020
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