Healthcare Provider Details

I. General information

NPI: 1073973921
Provider Name (Legal Business Name): TAYLOR CURRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2016
Last Update Date: 10/26/2020
Certification Date: 10/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 US HIGHWAY 14
BROOKLYN WI
53521-9421
US

IV. Provider business mailing address

360 US HIGHWAY 14
BROOKLYN WI
53521-9421
US

V. Phone/Fax

Practice location:
  • Phone: 608-778-3236
  • Fax:
Mailing address:
  • Phone: 608-778-3236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2357-19
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: