Provider Demographics
NPI:1831466267
Name:TAYLOR LAYMAN, ELIZABETH T (LMT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:T
Last Name:TAYLOR LAYMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 ALDER LANE
Mailing Address - Street 2:
Mailing Address - City:SEELEY LAKE
Mailing Address - State:MT
Mailing Address - Zip Code:59868-0194
Mailing Address - Country:US
Mailing Address - Phone:406-210-2887
Mailing Address - Fax:406-677-7723
Practice Address - Street 1:3027 HWY 83 LAZY PINE MALL
Practice Address - Street 2:
Practice Address - City:SEELEY LAKE
Practice Address - State:MT
Practice Address - Zip Code:59868
Practice Address - Country:US
Practice Address - Phone:406-677-7722
Practice Address - Fax:406-677-7723
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1328225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist