Provider Demographics
NPI:1346814548
Name:MILLER, TAYLOR VAUGHN (DPT)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:VAUGHN
Last Name:MILLER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:103 NW 15TH ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:KS
Mailing Address - Zip Code:67410-1547
Mailing Address - Country:US
Mailing Address - Phone:785-263-3646
Mailing Address - Fax:785-263-3689
Practice Address - Street 1:2221 E NORTHERN LIGHTS BLVD STE 106
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4140
Practice Address - Country:US
Practice Address - Phone:907-748-0022
Practice Address - Fax:907-277-0022
Is Sole Proprietor?:No
Enumeration Date:2021-05-13
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist