Provider Demographics
NPI:1265668123
Name:TAYLOR, STEVEN D (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:D
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3707 PROVIDENCE POINT DR SE STE B
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-6216
Mailing Address - Country:US
Mailing Address - Phone:425-868-9593
Mailing Address - Fax:425-868-6826
Practice Address - Street 1:3707 PROVIDENCE POINT DR SE STE B
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-6216
Practice Address - Country:US
Practice Address - Phone:425-868-9593
Practice Address - Fax:425-868-6826
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001997111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor