Raeann Taylor, MED, ATC, LAT

NPI #1114343803 in Leavenworth, Kansas

Provider Information

NPI Number: 1114343803
Entity Type: Individual
Name: Raeann Taylor, MED, ATC, LAT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MED, ATC, LAT
Enumeration Date: Mar 5, 2014
Last Updated: Mar 5, 2014

Practice Location

Address: 4100 S 4TH ST
City: Leavenworth
State: Kansas
ZIP Code: 66048-5082
Phone: (913) 758-4334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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