Provider Demographics
NPI:1083126163
Name:BROWN, TAYLOR LEIGH (DC)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:LEIGH
Last Name:BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 S CENTURY AVE
Mailing Address - Street 2:STE A3
Mailing Address - City:WAUNAKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53597-1272
Mailing Address - Country:US
Mailing Address - Phone:608-849-4464
Mailing Address - Fax:608-849-4428
Practice Address - Street 1:204 S CENTURY AVE STE A3
Practice Address - Street 2:
Practice Address - City:WAUNAKEE
Practice Address - State:WI
Practice Address - Zip Code:53597-1272
Practice Address - Country:US
Practice Address - Phone:608-849-4464
Practice Address - Fax:608-849-4428
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5309-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor