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

TAYLOR JOYCE MCKENZIE ANDERSON, ATC

Active Sole Proprietor

TAYLOR JOYCE MCKENZIE ANDERSON, ATC is a Athletic Trainer healthcare provider located in PEOTONE, Illinois. NPI 1578102893 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PEOTONE, IL

Registration Details

NPI Number
1578102893
Provider Type
Individual
Gender
Female
NPI Issued
Jan 3, 2020 (6.5818107740446 yrs)
Last Updated
Jan 3, 2020
License
096.004876 (IL)
Sole Proprietor
Yes

Practice Information

Address
605 W NORTH ST # 9182
PEOTONE, IL, 604689182
Browse IL providers · Browse ZIP 60468
Phone
8153701764
Primary Specialty
Athletic Trainer
2255A2300X
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.