Individual
TAYLOR SHOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 STANTON WAY, PENDLETON, KY 40055-7750
(502) 640-6417
Mailing address
110 STANTON WAY, PENDLETON, KY 40055-7750
(502) 640-6417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT35275
FL
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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