MEDICARE: TAYLOR GRIFFIN PT, DPT

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	225100000X	Physical Therapist	10699	TN

General Provider Information

NPI Number	:	1780073601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR GRIFFIN PT, DPT

Provider Business Mailing Address
First Line	:	636 RICHARDSON CEMETERY RD
Second Line	:
City	:	WHITE BLUFF
State	:	TN
Zip	:	37187-4204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	636 RICHARDSON CEMETERY RD
Second Line	:
City	:	WHITE BLUFF
State	:	TN
Zip	:	37187-4204
Country	:	US
Telephone Number	:	615-483-4707
Fax Number	:

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

Provider Enumeration Date	:	01/15/2015
Last Update Date	:	05/21/2026

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