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NPI Code Detail

MEDICARE: TAYLON N WEST

MEDICARE:   TAYLON N WEST
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
1225X00000XOccupational Therapist6150TN

General Provider Information

NPI Number : 1235790056
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLON N WEST
Provider Business Mailing Address
First Line : 2435 JACKSBORO PIKE
Second Line :
City : LA FOLLETTE
State : TN
Zip : 37766-2910
Country : US
Telephone Number : 423-566-8283
Fax Number : 423-563-5873
Provider Business Practice Location Address
First Line : 2435 JACKSBORO PIKE
Second Line :
City : LA FOLLETTE
State : TN
Zip : 37766-2910
Country : US
Telephone Number : 423-566-8283
Fax Number : 423-563-5873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2019
Last Update Date : 07/05/2019

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Directions to “ TAYLON N WEST ” Practice Location

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