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NPI Code Detail

MEDICARE: ASHLYN TAYLOR PTA

MEDICARE:   ASHLYN  TAYLOR  PTA
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 Assistant2163613TX

General Provider Information

NPI Number : 1760156269
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLYN TAYLOR PTA
Provider Business Mailing Address
First Line : 4438 S VINEYARD MEADOW LN
Second Line :
City : KATY
State : TX
Zip : 77449-0060
Country : US
Telephone Number : 504-858-0421
Fax Number :
Provider Business Practice Location Address
First Line : 250 SCHOOL ST
Second Line :
City : TOMBALL
State : TX
Zip : 77375-4701
Country : US
Telephone Number : 281-516-7929
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2021
Last Update Date : 08/06/2021

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Directions to “ ASHLYN TAYLOR PTA” Practice Location

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