Individual
SAMMI TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
200 TIGER DR, BOUTTE, LA 70039-3520
(337) 280-8793
Mailing address
200 TIGER DR, BOUTTE, LA 70039-3520
(337) 280-8793
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
060402530
LA
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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