Taylor Easton Witczak

NPI #1750774865 in Wayland, Michigan

Provider Information

NPI Number: 1750774865
Entity Type: Individual
Name: Taylor Easton Witczak
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Mar 13, 2015
Last Updated: Dec 22, 2019

Practice Location

Address: 12735 THERIS DR
City: Wayland
State: Michigan
ZIP Code: 49348-9214
Phone: (616) 485-5197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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