Healthcare Provider Details

I. General information

NPI: 1447161260
Provider Name (Legal Business Name): TAYLOR OLIVOTTI M.S. CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3109 MOUNT PLEASANT ST
RACINE WI
53404-1511
US

IV. Provider business mailing address

2111 E IVANHOE PL APT 412
MILWAUKEE WI
53202-1278
US

V. Phone/Fax

Practice location:
  • Phone: 262-635-5600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7588-154
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: