Healthcare Provider Details

I. General information

NPI: 1194263509
Provider Name (Legal Business Name): TAYLOR DIGMANN DPT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR BRANDENBURG

II. Dates (important events)

Enumeration Date: 02/06/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 LOGAN AVE
WATERLOO IA
50703-1916
US

IV. Provider business mailing address

5100 PRAIRIE PKWY STE 104
CEDAR FALLS IA
50613-8155
US

V. Phone/Fax

Practice location:
  • Phone: 319-235-3941
  • Fax:
Mailing address:
  • Phone: 319-222-2901
  • Fax: 319-222-2991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number085633
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number075155
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: