Taylor Mackenzie Hanes
NPI #1194374678 in Pawcatuck, Connecticut
Provider Information
- NPI Number
- 1194374678
- Entity Type
- Individual
- Name
- Taylor Mackenzie Hanes
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Sep 8, 2019
- Last Updated
- Sep 8, 2019
Practice Location
- Address
- 63 RIVER CREST DRIVE
- City
- Pawcatuck
- State
- Connecticut
- ZIP Code
- 06379-2542
- Phone
- (860) 857-9009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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