Provider Demographics
NPI:1801380266
Name:HATFIELD, TAYLOR BRITTANY (ATC)
Entity Type:Individual
Prefix:MS
First Name:TAYLOR
Middle Name:BRITTANY
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13700 COLLINS POND RD E
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-3604
Mailing Address - Country:US
Mailing Address - Phone:302-858-1959
Mailing Address - Fax:
Practice Address - Street 1:560 S GOVERNORS AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3523
Practice Address - Country:US
Practice Address - Phone:302-744-7095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ3-00006872255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer