Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDRE TAYLOR, ATC
Active Sole ProprietorANDRE TAYLOR, ATC is a 2083S0010X healthcare provider located in SEDALIA, Missouri. NPI 1477089753 is currently active in the NPPES registry. Verify at CMS.
2083S0010X · SEDALIA, MO
Registration Details
- NPI Number
- 1477089753
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2017 (9.2908988053246 yrs)
- Last Updated
- May 5, 2017
- License
-
2016027857 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
601 E 14TH STSEDALIA, MO, 653015972Browse MO providers · Browse ZIP 65301
- Phone
- 6602871225
- Primary Specialty
-
2083S0010X
2083S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.