MEDICARE: TAYLOR NICOLE YOUNKIN

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	111N00000X	Chiropractor	DC-05510	OH

General Provider Information

NPI Number	:	1699625210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR NICOLE YOUNKIN

Provider Business Mailing Address
First Line	:	90 COMMERCIAL WAY
Second Line	:
City	:	SPRINGBORO
State	:	OH
Zip	:	45066-3080
Country	:	US
Telephone Number	:	937-748-9708
Fax Number	:

Provider Business Practice Location Address
First Line	:	90 COMMERCIAL WAY
Second Line	:
City	:	SPRINGBORO
State	:	OH
Zip	:	45066-3080
Country	:	US
Telephone Number	:	937-748-9708
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ TAYLOR NICOLE YOUNKIN ” Practice Location

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