Provider Demographics
NPI:1356758510
Name:TAYLOR, CHRISTINE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 306393
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6393
Mailing Address - Country:US
Mailing Address - Phone:615-499-3709
Mailing Address - Fax:
Practice Address - Street 1:2910 S CHURCH ST STE G
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37127-7149
Practice Address - Country:US
Practice Address - Phone:615-656-0610
Practice Address - Fax:615-656-0611
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-18
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN49702251P0200X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4091397Medicaid
TN446678OtherBLUE CROSS BLUE SHIELD OF TENNESSEE