Provider Demographics
NPI:1730721275
Name:SLOAN, TAYLOR L (DC)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:L
Last Name:SLOAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:TAYLOR
Other - Middle Name:L
Other - Last Name:KERSCHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:18710 MERIDIAN E STE 117
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98375-2231
Mailing Address - Country:US
Mailing Address - Phone:253-875-9464
Mailing Address - Fax:253-875-9468
Practice Address - Street 1:18710 MERIDIAN E STE 117
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-2231
Practice Address - Country:US
Practice Address - Phone:253-875-9464
Practice Address - Fax:253-875-9468
Is Sole Proprietor?:No
Enumeration Date:2019-10-16
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60990267111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor