Individual
TAYLOR MARIE SHOEMAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
9850 GETTLER ST, DYER, IN 46311-7723
(708) 228-1583
Mailing address
9850 GETTLER ST, DYER, IN 46311-7723
(708) 228-1583
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002588A
IN
Other
Enumeration date
11/08/2015
Last updated
07/30/2016
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