Malcolm Taylor, ATC
NPI #1023747094 in Gibson City, Illinois
Provider Information
- NPI Number
- 1023747094
- Entity Type
- Individual
- Name
- Malcolm Taylor, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 6, 2022
- Last Updated
- Jun 6, 2022
Practice Location
- Address
- 1120 N MELVIN ST
- City
- Gibson City
- State
- Illinois
- ZIP Code
- 60936-1477
- Phone
- (217) 784-4251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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