Individual
TASHA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4800 W STONES CROSSING RD, GREENWOOD, IN 46143-6614
(317) 881-9326
Mailing address
4800 W STONES CROSSING RD, GREENWOOD, IN 46143-6614
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002060A
IN
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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