Individual
MRS. TAYLOR JEAN WHITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
20 BOYDEN BUILDING, 131 COMMONWEALTH AVENUE, AMHERST, MA 01003
(719) 209-2827
Mailing address
4 STONE LN APT 5246, MALDEN, MA 02148-1576
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
200021746
CO
Other
Enumeration date
02/22/2017
Last updated
08/01/2018
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