Individual
DR. BRENT F TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3413 S 100 W, BOUNTIFUL, UT 84010-6639
(801) 292-3407
Mailing address
3413 S 100 W, BOUNTIFUL, UT 84010-6639
(801) 292-3407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
66741782401
UT
225100000X
Physical Therapist
PT00008334
WA
2251E1300X
Clinical Electrophysiology Physical Therapist
PT00008334
WA
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8407074
—
WA
Enumeration date
02/05/2007
Last updated
12/31/2013
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