Provider Demographics
NPI:1740763143
Name:TAYLOR, MARGARET (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:WARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:107 SCHOOLCREST AVE
Mailing Address - Street 2:
Mailing Address - City:CLARE
Mailing Address - State:MI
Mailing Address - Zip Code:48617-1145
Mailing Address - Country:US
Mailing Address - Phone:989-386-9170
Mailing Address - Fax:989-386-9220
Practice Address - Street 1:107 SCHOOLCREST AVE
Practice Address - Street 2:
Practice Address - City:CLARE
Practice Address - State:MI
Practice Address - Zip Code:48617-1145
Practice Address - Country:US
Practice Address - Phone:989-386-9170
Practice Address - Fax:989-386-9220
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501018791225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist