Provider Demographics
NPI:1396915864
Name:TURNER, TAURUS G (PTA)
Entity type:Individual
Prefix:MR
First Name:TAURUS
Middle Name:G
Last Name:TURNER
Suffix:
Gender:M
Credentials:PTA
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 2817
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35403-2817
Mailing Address - Country:US
Mailing Address - Phone:205-759-1211
Mailing Address - Fax:205-722-1009
Practice Address - Street 1:1110 DR EDWARD HILLARD DR
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-7446
Practice Address - Country:US
Practice Address - Phone:205-759-1211
Practice Address - Fax:205-722-1009
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTA4317225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant