Healthcare Provider Details

I. General information

NPI: 1285321919
Provider Name (Legal Business Name): TAYLOR N HILTON MS, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAYLOR N NATZKE MS, LAT, ATC

II. Dates (important events)

Enumeration Date: 04/21/2023
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 MYERS FIELDHOUSE
MANKATO MN
56001-6171
US

IV. Provider business mailing address

200 WILLARD ST APT 204
MANKATO MN
56001-2455
US

V. Phone/Fax

Practice location:
  • Phone: 507-389-1866
  • Fax:
Mailing address:
  • Phone: 920-412-9558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number3739
License Number StateMN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: