Provider Demographics
NPI:1407314842
Name:BAIRD, TAYLOR ALLEN (DC)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ALLEN
Last Name:BAIRD
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 1:8530 SW 74TH ST UNIT 1B
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73169-1211
Mailing Address - Country:US
Mailing Address - Phone:620-388-4444
Mailing Address - Fax:
Practice Address - Street 1:1314 E 1ST ST
Practice Address - Street 2:
Practice Address - City:PRATT
Practice Address - State:KS
Practice Address - Zip Code:67124-2064
Practice Address - Country:US
Practice Address - Phone:620-388-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2024-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor