Taylor Fumagalli
NPI #1164020335 in Saint Charles, Missouri
Provider Information
- NPI Number
- 1164020335
- Entity Type
- Individual
- Name
- Taylor Fumagalli
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Oct 11, 2020
- Last Updated
- Oct 11, 2020
Practice Location
- Address
- 1421 WOODSTONE DR
- City
- Saint Charles
- State
- Missouri
- ZIP Code
- 63304-6866
- Phone
- (314) 761-9187
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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