Individual
TAYLOR SHEALY WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
468 CASPARI DR, NATCHITOCHES, LA 71497-0001
(318) 521-3637
Mailing address
468 CASPARI DR, NATCHITOCHES, LA 71497-0001
(318) 521-3637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2017
Last updated
05/05/2017
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