Healthcare Provider Details

I. General information

NPI: 1023678729
Provider Name (Legal Business Name): TAYLOR MARIE ZIRKLE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 W 2ND ST STE A
LIBERAL KS
67901-3717
US

IV. Provider business mailing address

118 S MAIN ST
ULYSSES KS
67880-2518
US

V. Phone/Fax

Practice location:
  • Phone: 620-626-5373
  • Fax: 620-309-4012
Mailing address:
  • Phone: 620-356-3333
  • Fax: 620-356-3338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11-06201
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: