Individual
TAYLOR NICOLE ANTHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4309 N TRIPPETT RD, PATOKA, IN 47666-9171
(812) 385-6099
Mailing address
4309 N TRIPPETT RD, PATOKA, IN 47666-9171
(812) 385-6099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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