Individual
TAYLOR HALTEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-2430
Mailing address
529 FOREST GREEN DR, WEBSTER GROVES, MO 63119-4545
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2024039341
MO
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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