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Individual

TAYLOR LANNEA AYLSWORTH-HAYFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-0001
(208) 371-6979
Mailing address
9177 W TILLAMOOK DR, BOISE, ID 83709-1290
(208) 371-6979

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-611
ID

Other

Enumeration date
01/10/2019
Last updated
03/19/2020
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