MEDICARE: JOSEPH TAYLOR MT-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225A00000X	Music Therapist	19041	TN

General Provider Information

NPI Number	:	1174333280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH TAYLOR MT-BC

Provider Business Mailing Address
First Line	:	2504 BAINBRIDGE WAY
Second Line	:
City	:	POWELL
State	:	TN
Zip	:	37849-5705
Country	:	US
Telephone Number	:	865-441-7553
Fax Number	:

Provider Business Practice Location Address
First Line	:	2504 BAINBRIDGE WAY
Second Line	:
City	:	POWELL
State	:	TN
Zip	:	37849-5705
Country	:	US
Telephone Number	:	865-441-7553
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2025
Last Update Date	:	01/10/2025

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Directions to “ JOSEPH TAYLOR MT-BC” Practice Location

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