Taylor Edwards, DT
Individual provider Active NPI Developmental Therapist · Sherman, IL
NPI 1225567936 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1225567936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 485 Meredith Dr
Sherman, IL 62684-8180 - Phone
- (217) 891-2772
- NPI assigned
- Jun 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | IL | Yes |
Addresses
Primary practice location
485 Meredith Dr
Sherman, IL 62684-8180
Mailing address
485 Meredith Dr
Sherman, IL 62684-8180
Phone (217) 891-2772
Other providers in Sherman, IL
- Carly Alexis Cook
- Jennifer Cosmos
- Leticia A. Drapiza
- Christopher Durr
- Jill Noel Edwards
- Kathryn Elzerman
- Hannah Eucker
- Susan Elizabeth Floyd
- John P Folkerts
- Alexandra Marie Heaton
All providers in Sherman, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.