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NPI Code Detail

MEDICARE: TAYLAR NGO

MEDICARE: TAYLAR NGO
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
1225700000XMassage Therapist

General Provider Information

NPI Number : 1518649292
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLAR NGO
Provider Business Mailing Address
First Line : 4383 S 2175 W
Second Line :
City : ROY
State : UT
Zip : 84067-2050
Country : US
Telephone Number : 801-678-8822
Fax Number :
Provider Business Practice Location Address
First Line : 1808 W 1800 N STE A
Second Line :
City : CLINTON
State : UT
Zip : 84015-8503
Country : US
Telephone Number : 801-217-3133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2023
Last Update Date : 08/02/2023

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Directions to “ TAYLAR NGO ” Practice Location

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