Healthcare Provider Details

I. General information

NPI: 1922993047
Provider Name (Legal Business Name): TAYLOR KARLSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 22ND AVE
MONROE WI
53566-1569
US

IV. Provider business mailing address

880 INDEPENDENCE LN
SAUK CITY WI
53583-1381
US

V. Phone/Fax

Practice location:
  • Phone: 608-324-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7014-154
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: