Provider Demographics
NPI:1164077640
Name:TAYLOR, EMILY J (PT, DPT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3051 CABERNET DRIVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-8644
Mailing Address - Country:US
Mailing Address - Phone:406-282-1030
Mailing Address - Fax:406-422-1030
Practice Address - Street 1:3051 CABERNET DRIVE
Practice Address - Street 2:SUITE 3
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-8644
Practice Address - Country:US
Practice Address - Phone:406-282-1030
Practice Address - Fax:406-422-1030
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60765855225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist