Taylor Carter

Individual provider Active NPI Athletic Trainer · Middleville, MI

NPI 1588102016 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1588102016
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
3885 Bender Rd
Middleville, MI 49333-9273
Phone
(269) 795-3394
NPI assigned
Feb 3, 2017
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

3885 Bender Rd
Middleville, MI 49333-9273

Mailing address

5400 Waldorf Rd
Delton, MI 49046-7786

Other practice location 1

5400 Waldorf Rd
Delton, MI 49046-7786
Phone (269) 908-0713

Other providers in Middleville, MI

All providers in Middleville, MI · Athletic Trainer in Michigan

Sources for this page

Verify at the official NPI Registry.