Individual
TAYLOR MCKENZIE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10476
AL
2255A2300X
Athletic Trainer
2000029044
FL
2255A2300X
Athletic Trainer
2211
AL
Other
Enumeration date
06/29/2017
Last updated
08/04/2021
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