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NPI Code Detail

MEDICARE: BECKY CHRISTINE TAYLOR PTA

MEDICARE:   BECKY CHRISTINE 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 Assistant750NE

General Provider Information

NPI Number : 1790088839
Entity Type Code : Individual
Provider Name (Legal Business Name) : BECKY CHRISTINE TAYLOR PTA
Provider Business Mailing Address
First Line : 687 N 5TH ST
Second Line :
City : TECUMSEH
State : NE
Zip : 68450-2057
Country : US
Telephone Number : 402-335-7825
Fax Number :
Provider Business Practice Location Address
First Line : 1133 N 3RD ST
Second Line :
City : TECUMSEH
State : NE
Zip : 68450-2069
Country : US
Telephone Number : 402-335-3357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2010
Last Update Date : 12/12/2010

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Directions to “ BECKY CHRISTINE TAYLOR PTA” Practice Location

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