Provider Demographics
NPI:1538684659
Name:FRENCH, TAYLOR BROOKE
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:BROOKE
Last Name:FRENCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:
Other - Last Name:HICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:835 PLEASANT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38256-5127
Mailing Address - Country:US
Mailing Address - Phone:731-446-0552
Mailing Address - Fax:
Practice Address - Street 1:835 PLEASANT GROVE RD
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:TN
Practice Address - Zip Code:38256-5127
Practice Address - Country:US
Practice Address - Phone:731-446-0552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6548225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant