Provider Demographics
NPI:1861617532
Name:TAYLOR, TIFFANY KATE (CMT)
Entity type:Individual
Prefix:MISS
First Name:TIFFANY
Middle Name:KATE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 BISHOP ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-1707
Mailing Address - Country:US
Mailing Address - Phone:970-214-3374
Mailing Address - Fax:
Practice Address - Street 1:COLORADO STATE UNIVERSITY HARTSHORN HEALTH SERVICE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80523-8031
Practice Address - Country:US
Practice Address - Phone:970-491-1735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist