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Individual

MS. ELAINE TAYLOR REICHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2328 MOUNT HOPE RD, OKEMOS, MI 48864-2506
(512) 923-2011
Mailing address
2328 MOUNT HOPE RD, OKEMOS, MI 48864-2506
(512) 923-2011

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0002068
CO
2255A2300X
Athletic Trainer
1868
AL
2255A2300X
Athletic Trainer
2408
TN
2255A2300X
Athletic Trainer
Primary
2601002655
MI

Other

Enumeration date
10/28/2015
Last updated
09/01/2021
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