Provider Demographics
NPI:1033890413
Name:CLAYDON, TAYLOR AMY (DPT)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:AMY
Last Name:CLAYDON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3255 S WADSWORTH BLVD STE A-2
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5026
Mailing Address - Country:US
Mailing Address - Phone:303-993-4438
Mailing Address - Fax:303-993-4817
Practice Address - Street 1:3255 S WADSWORTH BLVD STE A-2
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5026
Practice Address - Country:US
Practice Address - Phone:303-993-4438
Practice Address - Fax:303-993-4817
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19222225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist