Wyatt John Taylor
NPI #1033982343 in Lino Lakes, Minnesota
Provider Information
- NPI Number
- 1033982343
- Entity Type
- Individual
- Name
- Wyatt John Taylor
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Oct 30, 2023
- Last Updated
- Oct 30, 2023
Practice Location
- Address
- 6628 CLEARWATER CREEK DR
- City
- Lino Lakes
- State
- Minnesota
- ZIP Code
- 55038-7705
- Phone
- (612) 222-8982
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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