Provider Demographics
NPI:1629757505
Name:GARAGIOLA, TAYLOR KENZIE
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:KENZIE
Last Name:GARAGIOLA
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 1:802 KENILWORTH LN
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7551
Mailing Address - Country:US
Mailing Address - Phone:618-979-0152
Mailing Address - Fax:
Practice Address - Street 1:2205 NW SHEVLIN PARK RD
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-7195
Practice Address - Country:US
Practice Address - Phone:541-678-5698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR31139231H00000X
OHA.02447231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist