Individual
TAYLOR BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, MDNC
Contact information
Practice address
5802 RIDGELAND DR, BISMARCK, ND 58503-6189
(701) 223-4113
Mailing address
34601 93RD ST NE, WILTON, ND 58579-9722
(701) 989-0160
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
983-24
ND
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
03/23/2023
Last updated
12/16/2024
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