Individual
TAYLOR HEFTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
19767 SW 72ND AVE STE 105, TUALATIN, OR 97062-8354
(503) 454-0526
(503) 855-4568
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(334) 231-5364
(812) 590-8333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65020
OR
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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