Provider Demographics
NPI:1518672005
Name:COLLINS, DARCI TAYLOR
Entity Type:Individual
Prefix:
First Name:DARCI
Middle Name:TAYLOR
Last Name:COLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 N COTTONWOOD ST
Mailing Address - Street 2:
Mailing Address - City:IOLA
Mailing Address - State:KS
Mailing Address - Zip Code:66749-1648
Mailing Address - Country:US
Mailing Address - Phone:620-901-6297
Mailing Address - Fax:
Practice Address - Street 1:1801 N COTTONWOOD ST
Practice Address - Street 2:
Practice Address - City:IOLA
Practice Address - State:KS
Practice Address - Zip Code:66749-1648
Practice Address - Country:US
Practice Address - Phone:620-901-6297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer