Individual
TAYLOR PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W BURKHART ST, MALDEN, MO 63863-1440
(573) 276-5794
Mailing address
8781 COUNTY ROAD 629, QULIN, MO 63961-8226
(573) 429-1373
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2024044474
MO
Other
Enumeration date
07/28/2025
Last updated
10/30/2025
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