Provider Demographics
NPI:1467944686
Name:GREINER, TAYLOR CHRISTINE (PTA)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:CHRISTINE
Last Name:GREINER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:CHRISTINE
Other - Last Name:METZGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:3307 BARADA ST.
Mailing Address - Street 2:
Mailing Address - City:FALLS CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68355
Mailing Address - Country:US
Mailing Address - Phone:785-285-8308
Mailing Address - Fax:
Practice Address - Street 1:3307 BARADA ST
Practice Address - Street 2:
Practice Address - City:FALLS CITY
Practice Address - State:NE
Practice Address - Zip Code:68355
Practice Address - Country:US
Practice Address - Phone:402-245-6525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-03356225200000X
NE1693225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant