Provider Demographics
NPI:1821518168
Name:HUFFMAN, TAYLOR MARIE (MS, LAT, ATC)
Entity Type:Individual
Prefix:MS
First Name:TAYLOR
Middle Name:MARIE
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 HIGHLAND DR APT 511
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:TX
Mailing Address - Zip Code:76574-1850
Mailing Address - Country:US
Mailing Address - Phone:210-355-3525
Mailing Address - Fax:
Practice Address - Street 1:355 FM 973
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:TX
Practice Address - Zip Code:76574-4524
Practice Address - Country:US
Practice Address - Phone:512-352-6326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT68062255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer