TAYLOR LANNEA AYLSWORTH-HAYFIELD

BOISE, ID
NPI1700359916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-611)
Enumeration Date2019-01-10
Last Update Date2020-03-19
Business Address
TAYLOR LANNEA AYLSWORTH-HAYFIELD LAT, ATC
1910 UNIVERSITY DR
BOISE, ID 83725-0001
Phone number: 208-371-6979
Mailing Address
TAYLOR LANNEA AYLSWORTH-HAYFIELD LAT, ATC
9177 W TILLAMOOK DR
BOISE, ID 83709-1290
Phone number: 208-371-6979