Individual
TAYLOR ZOLECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
885 W GROVE RD, DECATUR, IL 62521-9058
(217) 201-2612
Mailing address
885 W GROVE RD, DECATUR, IL 62521-9058
(217) 201-2612
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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