Healthcare Provider Details

I. General information

NPI: 1174459853
Provider Name (Legal Business Name): TAYLOUR C SMITH NREMT-P
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 N 880 E
SPANISH FORK UT
84660-1660
US

IV. Provider business mailing address

551 N 880 E
SPANISH FORK UT
84660-1660
US

V. Phone/Fax

Practice location:
  • Phone: 208-570-0488
  • Fax:
Mailing address:
  • Phone: 208-570-0488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number2020034273
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: