Taylor Rohleder
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · New Cambria, KS
NPI 1376078956 · NPPES record last updated Apr 20, 2017
Key facts
- NPI
- 1376078956
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4233 N Kipp Rd
New Cambria, KS 67470-8532 - Phone
- (785) 280-2541
- NPI assigned
- Apr 20, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4233 N Kipp Rd
New Cambria, KS 67470-8532
Mailing address
4233 N Kipp Rd
New Cambria, KS 67470-8532
Phone (785) 280-2541
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.