IndividualActive
Andre Taylor, ATC
NPI 1477089753 · Sports Medicine (Preventive Medicine) Physician · Sedalia, MO
Provider details
- NPI number
- 1477089753
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2016027857 (MO)
Mailing address
1203 Pebblecreek Dr
Warrensburg, MO 64093-9502
Registry dates
- Enumerated
- 2017-05-05
- Last updated
- 2017-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.