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

Taylor Easton Witczak

Individual provider Athletic Trainer · NPI 1750774865

Taylor Easton Witczak is an Athletic Trainer in Wayland, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
Specialties on file
2

Practice location Address checks out

12735 Theris Dr
Wayland, MI 49348-9214
Phone: (616) 485-5197
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501019293 (MI)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1750774865
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 13, 2015
Last updated in NPPESDecember 22, 2019
Certification dateDecember 22, 2019