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

Taylor Mickelson, ATC

Individual provider Athletic Trainer · NPI 1134583602

Taylor Mickelson, ATC is an Athletic Trainer in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5140 Gate Pkwy 2104
Jacksonville, FL 32256-0232
Phone: (501) 282-4145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL 4197 (FL)

Record details

NPI number1134583602
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESApril 11, 2016
Mailing address5140 Gate Pkwy, 2104, Jacksonville, FL 32256-0232

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