Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Rose Taylor

Individual provider Athletic Trainer · NPI 1205334190

Alyssa Rose Taylor is an Athletic Trainer in Coon Rapids, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2018

Practice location Address checks out

2104 Northdale Blvd NW Ste 100
Coon Rapids, MN 55433
Phone: (763) 755-5495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3900 Bethel Dr, Saint Paul, MN 55112-6902 — (612) 558-7932

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000033575 (MN)

Record details

NPI number1205334190
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 25, 2018
Last updated in NPPESJuly 10, 2018
Mailing address20540 Georgia Ave N, Forest Lake, MN 55025-8009

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