MEDICARE: SKYLA TAYLOR DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	0018714	CO

General Provider Information

NPI Number	:	1114649498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SKYLA TAYLOR DPT

Provider Business Mailing Address
First Line	:	2306 STOVER ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-1850
Country	:	US
Telephone Number	:	360-216-5914
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 E HORSETOOTH RD BLDG 4
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3155
Country	:	US
Telephone Number	:	970-286-2868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2022
Last Update Date	:	04/14/2026

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