Provider Demographics
NPI:1144521576
Name:TAYLOR, MEGAN MAYNARD (PT, DPT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MAYNARD
Last Name:TAYLOR
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 1:1030 JOHNSON RD 330
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-6013
Mailing Address - Country:US
Mailing Address - Phone:303-905-9040
Mailing Address - Fax:
Practice Address - Street 1:1030 JOHNSON RD
Practice Address - Street 2:STE 330
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-6013
Practice Address - Country:US
Practice Address - Phone:303-905-9040
Practice Address - Fax:303-845-9082
Is Sole Proprietor?:No
Enumeration Date:2010-11-17
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11058225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist