Taylor Leigh Tassoul, LAT, ATC

NPI #1659871812 in Pewaukee, Wisconsin

Provider Information

NPI Number
1659871812
Entity Type
Individual
Name
Taylor Leigh Tassoul, LAT, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Feb 14, 2018
Last Updated
Feb 14, 2018

Practice Location

Address
285 FOREST GROVE DR STE 207
ZIP Code
53072-3738
Phone
(877) 732-2262

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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