Provider Demographics
NPI:1033816210
Name:C TAYLOR NUTRITION THERAPY
Entity Type:Organization
Organization Name:C TAYLOR NUTRITION THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:CORRYN
Authorized Official - Middle Name:S
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:337-739-9456
Mailing Address - Street 1:211 BON MANGE CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-3749
Mailing Address - Country:US
Mailing Address - Phone:337-739-9456
Mailing Address - Fax:
Practice Address - Street 1:211 BON MANGE CIR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3749
Practice Address - Country:US
Practice Address - Phone:337-739-9456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty