Provider Demographics
NPI:1205956182
Name:TAYLOR, CHRISTOPHER JOHN (MPT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 18806
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28814-0806
Mailing Address - Country:US
Mailing Address - Phone:828-348-1780
Mailing Address - Fax:877-922-4820
Practice Address - Street 1:640 MERRIMON AVE STE 107
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3456
Practice Address - Country:US
Practice Address - Phone:828-348-1780
Practice Address - Fax:877-922-4820
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2015-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20388225100000X
WV002141225100000X
WA10377225100000X
NV2092225100000X
TX1169653225100000X
CA33469225100000X
HI2603225100000X
NCP13545225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCB562Medicare UPIN