Provider Demographics
NPI:1033803002
Name:TAYLOR PHYSICAL THERAPY ASSOC. LLC
Entity Type:Organization
Organization Name:TAYLOR PHYSICAL THERAPY ASSOC. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEROD
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:319-352-5644
Mailing Address - Street 1:1306 HWY 57
Mailing Address - Street 2:SUITE B
Mailing Address - City:PARKERSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:50665
Mailing Address - Country:US
Mailing Address - Phone:319-346-9783
Mailing Address - Fax:319-346-9785
Practice Address - Street 1:1203 W. BREMER AVE
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:IA
Practice Address - Zip Code:50677
Practice Address - Country:US
Practice Address - Phone:319-559-2442
Practice Address - Fax:319-559-2443
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAYLOR PHYSICAL THERAPY ASSOC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty