Provider Demographics
NPI:1942879010
Name:COBBEL, TAYLOR SHAE (PT, DPT, MBA)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:SHAE
Last Name:COBBEL
Suffix:
Gender:F
Credentials:PT, DPT, MBA
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:SHAE
Other - Last Name:WERNSING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, MBA
Mailing Address - Street 1:5508 LINDENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-1505
Mailing Address - Country:US
Mailing Address - Phone:217-494-8369
Mailing Address - Fax:
Practice Address - Street 1:4418 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:OAKVILLE
Practice Address - State:MO
Practice Address - Zip Code:63129-3316
Practice Address - Country:US
Practice Address - Phone:314-894-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist