Mckayla Deborah Tallman

NPI #1245837699 in West Lafayette, Indiana

Provider Information

NPI Number: 1245837699
Entity Type: Individual
Name: Mckayla Deborah Tallman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 7, 2020
Last Updated: Oct 7, 2020

Practice Location

Address: 900 N JOHN R WOODEN DR
City: West Lafayette
State: Indiana
ZIP Code: 47907-2117
Phone: (800) 497-7678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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