Individual
TAYLER COMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
960 S BROADWAY AVE, SUITE 200, BOISE, ID 83706-3600
(208) 433-9211
(208) 433-9241
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(503) 443-6156
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4782
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649714163
—
ID
Enumeration date
12/19/2016
Last updated
03/29/2017
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