Individual
KAYLA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8401 GREENSBORO DR STE 120, MC LEAN, VA 22102-5101
(571) 899-3580
Mailing address
1860 TOWN CENTER DR STE 300, RESTON, VA 20190-5900
(703) 435-4702
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002474
VA
Other
Enumeration date
10/24/2017
Last updated
12/23/2022
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