Provider Demographics
NPI:1326526419
Name:STRONG, TAYLOR RABALAIS (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:TAYLOR
Middle Name:RABALAIS
Last Name:STRONG
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:E
Other - Last Name:RABALAIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:530 SHADOWS LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6530
Mailing Address - Country:US
Mailing Address - Phone:225-927-9185
Mailing Address - Fax:225-231-3803
Practice Address - Street 1:530 SHADOWS LN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6530
Practice Address - Country:US
Practice Address - Phone:225-927-9185
Practice Address - Fax:225-231-3803
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA09993225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist