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Contact Information

ALYSSA R TAYLOR
2104 NORTHDALE BLVD NW STE 100
COON RAPIDS, MN55433
 Phone: 763-755-5495
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for ALYSSA R TAYLOR · (Female)

NPI Number 1205334190
Status Active
Credentials
Entity Individual
Enumeration date 01/25/2018
Last updated 07/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2000033575
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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