Individual
RANDALL SCOTT TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
406 E MOUNTAIN VIEW RD, JOHNSON CITY, TN 37601-1298
(423) 202-7500
(423) 202-7522
Mailing address
406 E MOUNTAIN VIEW RD, JOHNSON CITY, TN 37601-1298
(423) 202-7500
(423) 202-7522
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000003427
TN
225200000X
Physical Therapy Assistant
A01823
KY
Other
Enumeration date
05/21/2008
Last updated
09/24/2014
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