Healthcare Provider Details

I. General information

NPI: 1639808132
Provider Name (Legal Business Name): STEPHANIE LYNN TAYLOR DC, BS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2022
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19925 VERNIER RD STE 100
HARPER WOODS MI
48225-1486
US

IV. Provider business mailing address

50224 OAKVIEW DR
CHESTERFIELD MI
48047-1887
US

V. Phone/Fax

Practice location:
  • Phone: 313-635-1585
  • Fax:
Mailing address:
  • Phone: 586-850-2506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301401228
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: