Provider Demographics
NPI:1124597745
Name:CROUSE, TAYLOR ANN SKELTON (PT)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:ANN SKELTON
Last Name:CROUSE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:ANN
Other - Last Name:SKELTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:114 CRESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:38230-1265
Mailing Address - Country:US
Mailing Address - Phone:931-722-0998
Mailing Address - Fax:
Practice Address - Street 1:2060 RHINO CROSSING
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:TN
Practice Address - Zip Code:38358
Practice Address - Country:US
Practice Address - Phone:731-613-2214
Practice Address - Fax:731-612-2215
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-14
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11481225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist