Individual
DR. TAYLOR HAMILTON BUSHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
17014 NEW COLLEGE AVE, WILDWOOD, MO 63040-1177
(636) 500-7772
(844) 388-0538
Mailing address
7420 GAYOLA PL, MAPLEWOOD, MO 63143-2006
(541) 206-3403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18920
MA
225100000X
Physical Therapist
Primary
2017031896
MO
225100000X
Physical Therapist
6339
OR
Other
Enumeration date
01/15/2010
Last updated
01/26/2026
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