Individual
NANCY A. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
17099 ZOYA DR, MOUNT VERNON, WA 98274-8014
(360) 422-0273
Mailing address
17099 ZOYA DR, MOUNT VERNON, WA 98274-8014
(360) 422-0273
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00023319
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0219751
L&I PROVIDER NUMBER
WA
Enumeration date
05/21/2007
Last updated
07/08/2007
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