Provider Demographics
NPI:1023678729
Name:ZIRKLE, TAYLOR MARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:MARIE
Last Name:ZIRKLE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ULYSSES
Mailing Address - State:KS
Mailing Address - Zip Code:67880-2518
Mailing Address - Country:US
Mailing Address - Phone:620-356-3333
Mailing Address - Fax:620-356-3338
Practice Address - Street 1:23 W 2ND ST STE A
Practice Address - Street 2:
Practice Address - City:LIBERAL
Practice Address - State:KS
Practice Address - Zip Code:67901-3717
Practice Address - Country:US
Practice Address - Phone:620-626-5373
Practice Address - Fax:620-309-4012
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-06201225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist