Provider Demographics
NPI:1518289818
Name:WOODS, TAYLOR RYAN (ATC, CSCS)
Entity Type:Individual
Prefix:MR
First Name:TAYLOR
Middle Name:RYAN
Last Name:WOODS
Suffix:
Gender:M
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 3RD ST SW
Mailing Address - Street 2:APT 607
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-4417
Mailing Address - Country:US
Mailing Address - Phone:202-713-5775
Mailing Address - Fax:
Practice Address - Street 1:19 EYE ST NW
Practice Address - Street 2:ATHLETICS
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1425
Practice Address - Country:US
Practice Address - Phone:202-336-7104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-27
Last Update Date:2010-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer