Provider Demographics
NPI:1871268763
Name:TAYLOR, MEGAN E (OTR)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:E
Other - Last Name:REYNOLDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2412 SW RIVER TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-7811
Mailing Address - Country:US
Mailing Address - Phone:816-694-0598
Mailing Address - Fax:
Practice Address - Street 1:3680 NE AKIN DR STE 134
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-7853
Practice Address - Country:US
Practice Address - Phone:816-694-0598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021027287225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist