Provider Demographics
NPI:1295866705
Name:TAYLOR, LEIGH ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:ANN
Last Name:TAYLOR
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 1:4114 BROOKSTON DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-8622
Mailing Address - Country:US
Mailing Address - Phone:937-233-4055
Mailing Address - Fax:937-233-4077
Practice Address - Street 1:8501 OLD TROY PIKE
Practice Address - Street 2:SUITE 190
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-1054
Practice Address - Country:US
Practice Address - Phone:937-233-4055
Practice Address - Fax:937-233-4077
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3455111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000354540OtherANTHEM
OH000000354540OtherANTHEM