Taylor, Jeffrey R

Taylor, Jeffrey R is an individual health care provider with primary practice located at 12072 W Mcmillan Rd , Boise ID 83713-2462. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Taylor, Jeffrey R can be contacted via phone (208) 939-0533.

Contact Information

Primary practice address
12072 W Mcmillan Rd Boise ID 83713-2462
Phone: (208) 939-0533
Fax: (208) 939-3341
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-2983 Idaho

Profile Details

NPI number 1346501962
LBN Legal business name Taylor, Jeffrey R
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated May 30th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346501962 NPPES
Idaho MEDICAID 1639365323

Popular Providers