Healthcare Provider Details

I. General information

NPI: 1174907166
Provider Name (Legal Business Name): TAYLOR SCHUTTE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR REMICK

II. Dates (important events)

Enumeration Date: 07/20/2015
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6949 GOOD SAMARITAN DR
CINCINNATI OH
45247-5204
US

IV. Provider business mailing address

6949 GOOD SAMARITAN DR
CINCINNATI OH
45247-5204
US

V. Phone/Fax

Practice location:
  • Phone: 513-316-6879
  • Fax:
Mailing address:
  • Phone: 513-316-6879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number80790
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number80790
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number80790
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: