IndividualActive
Andrea Taylor, ATC, OTC, OT-SC
NPI 1730501719 · Athletic Trainer · Columbia, SC
Provider details
- NPI number
- 1730501719
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, OTC, OT-SC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1001 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2 Medical Park Rd Ste 404
Columbia, SC 29203-6875
Phone: (803) 434-8288
Fax: (803) 434-5467
Approximate (ZIP-level) locationGet directions
Mailing address
2 Medical Park Rd Ste 404
Columbia, SC 29203-6875
Registry dates
- Enumerated
- 2014-01-10
- Last updated
- 2014-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.