Provider Demographics
NPI:1760044135
Name:TAYLOR, HALEY EVERETT (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:EVERETT
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WINSLOW RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1726
Mailing Address - Country:US
Mailing Address - Phone:203-364-6324
Mailing Address - Fax:
Practice Address - Street 1:8 WINSLOW RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1726
Practice Address - Country:US
Practice Address - Phone:203-364-6324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-05
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program