Individual
OLIVIA NICOLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
309 N 5TH ST, LEESVILLE, LA 71446-4029
(337) 423-5225
Mailing address
79 SPECKER ST, FORT LEONARD WOOD, MO 65473-1241
(419) 979-9517
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA10496
LA
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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