MEDICARE: TAYLOR NUNEZ

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	225200000X	Physical Therapy Assistant	A10318	LA

General Provider Information

NPI Number	:	1568394054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR NUNEZ

Provider Business Mailing Address
First Line	:	211 E WORTHY ST
Second Line	:
City	:	GONZALES
State	:	LA
Zip	:	70737-4232
Country	:	US
Telephone Number	:	225-644-7044
Fax Number	:	225-644-4414

Provider Business Practice Location Address
First Line	:	211 E WORTHY RD
Second Line	:	BLDG IV
City	:	GONZALES
State	:	LA
Zip	:	70737
Country	:	US
Telephone Number	:	225-644-7044
Fax Number	:	225-644-4414

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ TAYLOR NUNEZ ” Practice Location

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