Individual
SAMANTHA BETHANY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2585 ABBEY ROAD, COLLEGEVILLE, MN 56321
(320) 363-3813
(320) 363-3130
Mailing address
PO BOX 7277, COLLEGEVILLE, MN 56321-7277
(320) 363-3813
(320) 363-3130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2771
MN
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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