Individual
TAYLOR ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 UNIVERSITY DR, MARYVILLE, MO 64468-6015
(660) 253-6066
Mailing address
618 W HALSEY ST APT 7, MARYVILLE, MO 64468-2175
(660) 253-6066
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2024008995
MO
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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