Individual
TAYLOR MANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 E 1ST AVE, EASLEY, SC 29640-3040
(864) 850-2663
(864) 306-0012
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363AS0400X
Surgical Physician Assistant
Primary
6214
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
04/20/2026
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