Individual
TAYLOR MEI RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9195 GRANT ST STE 120, THORNTON, CO 80229-4386
(303) 453-2997
Mailing address
11525 COMMUNITY CENTER DR APT I307, NORTHGLENN, CO 80233-1123
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001967
CO
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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