Provider Demographics
NPI:1437188802
Name:TAYLOR, WILLIAM F III (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:TAYLOR
Suffix:III
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 MICHELLE WAY
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-2508
Mailing Address - Country:US
Mailing Address - Phone:972-288-5679
Mailing Address - Fax:972-882-7866
Practice Address - Street 1:704 MICHELLE WAY
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-2508
Practice Address - Country:US
Practice Address - Phone:972-288-5679
Practice Address - Fax:972-882-7866
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer