Healthcare Provider Details

I. General information

NPI: 1831656370
Provider Name (Legal Business Name): TAYLER WARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2019
Last Update Date: 02/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 W 44TH AVE
DENVER CO
80211-1429
US

IV. Provider business mailing address

11477 IOLA ST
COMMERCE CITY CO
80640-7680
US

V. Phone/Fax

Practice location:
  • Phone: 303-477-5303
  • Fax:
Mailing address:
  • Phone: 720-979-9970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number0014125
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: