Individual
TAYLOR LEIGH SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3601 MOUNT ALADIN AVE, SAN DIEGO, CA 92111-4036
(760) 518-4956
Mailing address
3601 MOUNT ALADIN AVE, SAN DIEGO, CA 92111-4036
(760) 518-4956
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1549
AZ
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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