DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUTUMN NICOLE TAYLOR

Active Sole Proprietor

AUTUMN NICOLE TAYLOR is a Athletic Trainer healthcare provider located in CHAMPAIGN, Illinois. NPI 1346759586 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CHAMPAIGN, IL

Registration Details

NPI Number
1346759586
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2017 (8.8743148052453 yrs)
Last Updated
Oct 30, 2020
Sole Proprietor
Yes

Practice Information

Address
1750 S 4TH ST
CHAMPAIGN, IL, 618206948
Browse IL providers · Browse ZIP 61820
Phone
4438830156
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in CHAMPAIGN, IL

Name Credential NPI
KRISTEN M STREETER ATC 1083609903
MR. ERIC MICHAEL STREETER MS, ATC 1083609648
MS. MELINDA FLEGEL ATC 1306810189
MR. PAUL D SCHMIDT ATC 1659331379
MRS. KAREN ANNETTE IEHL-MORSE ATC 1417918913
MR. RICHARD JEAN A.T.C. 1043227614
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.