Taylor, Wyatt John

Taylor, Wyatt John is an individual health care provider with primary practice located at 6628 Clearwater Creek Dr , Lino Lakes MN 55038-7705. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Taylor, Wyatt John can be contacted via phone (612) 222-8982.

Contact Information

Primary practice address
6628 Clearwater Creek Dr Lino Lakes MN 55038-7705
Phone: (612) 222-8982
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1033982343
LBN Legal business name Taylor, Wyatt John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2023
Last updated Oct 30th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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