Organization
TAYLOR'D THERAPY SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY LYNN TAYLOR (PHYSICAL THERAPIST)
(972) 679-5874
Entity
Organization
Contact information
Practice address
5909 BETHEL RD, SHAWNEE, OK 74804-0915
(972) 679-5874
(888) 467-4607
Mailing address
5909 BETHEL RD, SHAWNEE, OK 74804-0915
(972) 679-5874
(888) 467-4607
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4777
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200511120A
—
OK
Enumeration date
07/07/2014
Last updated
04/16/2026
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