Individual
MR. JASON SCOTT TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
500 N BROAD ST, SELINSGROVE, PA 17870-1665
(570) 374-2005
Mailing address
12 CALVETT PL, SELINSGROVE, PA 17870-9489
(570) 837-9305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003482
PA
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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