Debra Taylor
Individual provider Active NPI Physical Therapist · Decaturville, TN
NPI 1033465745 · NPPES record last updated Jul 31, 2012
Key facts
- NPI
- 1033465745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2761 (TN)
- Practice address
- 59 W Main St
Decaturville, TN 38329-8031 - Phone
- (423) 622-1551
- Fax
- (423) 622-1556
- NPI assigned
- Jul 31, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2761 | TN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2761 | TN | Yes |
Addresses
Primary practice location
59 W Main St
Decaturville, TN 38329-8031
Mailing address
59 W Main St
Decaturville, TN 38329-8031
Phone (423) 622-1551
Other providers in Decaturville, TN
- Holly Scott
- Tammy R Scott
- Chelsey Johnson Sparks
- Jacqueline Diane Staggs
- State of Tennesseee
- Amber Diane Walker
- Westwood Health Care and Rehabilitation Center LLC
- Brian White
- Susan A White
- Stephanie Wood
All providers in Decaturville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.