Provider Demographics
NPI:1790006690
Name:TAYLOR, EMILY A (DC)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:A
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1201 NW 178TH ST
Mailing Address - Street 2:SUITE 119
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-4279
Mailing Address - Country:US
Mailing Address - Phone:214-517-4122
Mailing Address - Fax:
Practice Address - Street 1:1201 NW 178TH ST
Practice Address - Street 2:SUITE 119
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-4279
Practice Address - Country:US
Practice Address - Phone:214-517-4122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3954111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor