Individual
JAY C TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
522 STATE ROAD 82, SUITE B, MAUSTON, WI 53948-1450
(608) 847-2524
Mailing address
550 W MAPLE ST, # 201, BARABOO, WI 53913-1166
(608) 355-4100
(608) 355-4107
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2870012
WI
111NS0005X
Sports Physician Chiropractor
2870-012
WI
Other
Enumeration date
01/31/2007
Last updated
09/28/2016
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