| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TAYLOR BALLENGER | 1184393142 | 2024-01-07 |
Taylor Ballenger is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1184393142. Registration indicates Taylor Ballenger is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, )
| Entity Type | Individual |
| Provider Name | Taylor Ballenger SCAT, ATC |
| Practice Office Address | 1300 WHEAT ST COLUMBIA, SC US |
| Practice Office Telephone | 8037770636 |
| Mailing Address | 250 CROSSBOW DR APT M24 COLUMBIA, SC 292120717 US |
| Business Telephone | 4123276952 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 2255A2300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist | 2000051712
SC |