Provider Demographics
NPI:1598258303
Name:WESSON, ROBERT TAYLOR (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:TAYLOR
Last Name:WESSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2089 CECIL ASHBURN DR SE STE 201
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-2569
Mailing Address - Country:US
Mailing Address - Phone:256-797-8676
Mailing Address - Fax:
Practice Address - Street 1:2717 DOWNING ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-2266
Practice Address - Country:US
Practice Address - Phone:256-797-8676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2578111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor