Individual
MATT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CWS, WCS
Contact information
Practice address
2017 W WOODLAND ST, SPRINGFIELD, MO 65807-5913
(417) 889-4800
(417) 889-0980
Mailing address
2017 W WOODLAND ST, SPRINGFIELD, MO 65807-5913
(417) 889-4800
(417) 889-0980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014039476
MO
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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