Autumn Nicole Taylor
Autumn Nicole Taylor is an Athletic Trainer in Champaign, Illinois. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1750 S 4th StChampaign, IL 61820-6948
Phone: (443) 883-0156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1346759586 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 20, 2017 |
| Last updated in NPPES | October 30, 2020 |
| Certification date | October 30, 2020 |
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