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NPI Code Detail

MEDICARE: TAYLOR N FUTRELL

MEDICARE: TAYLOR N FUTRELL
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
1225200000XPhysical Therapy Assistant2306605525VA

General Provider Information

NPI Number : 1558906628
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR N FUTRELL
Provider Business Mailing Address
First Line : 102 FLOWERING TREE LN
Second Line :
City : AYLETT
State : VA
Zip : 23009-2868
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 121 COURTHOUSE LN
Second Line :
City : BOWLING GREEN
State : VA
Zip : 22427-9336
Country : US
Telephone Number : 804-633-1232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2019
Last Update Date : 08/26/2024

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Directions to “ TAYLOR N FUTRELL ” Practice Location

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