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NPI Code Detail

MEDICARE: TAYLOR ALEXIS BABBITT DPT

MEDICARE: TAYLOR ALEXIS BABBITT 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
1225100000XPhysical Therapist2736ND

General Provider Information

NPI Number : 1811762123
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR ALEXIS BABBITT DPT
Provider Business Mailing Address
First Line : 3108 12TH AVE NW APT 106
Second Line :
City : MANDAN
State : ND
Zip : 58554-1625
Country : US
Telephone Number : 813-731-8426
Fax Number :
Provider Business Practice Location Address
First Line : 3921 LOCKPORT ST
Second Line :
City : BISMARCK
State : ND
Zip : 58503-5541
Country : US
Telephone Number : 701-751-3128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2023
Last Update Date : 11/20/2023

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