Individual
MICHAEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
267 N SPRING CREEK PKWY, PROVIDENCE, UT 84332-9775
(435) 792-9400
Mailing address
1693 N 400 W APT F203, LOGAN, UT 84341-2090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10864868-2401
UT
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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