Provider Demographics
NPI:1740661149
Name:YEAGER, TAYLOR MCKENZIE (OTR)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:MCKENZIE
Last Name:YEAGER
Suffix:
Gender:
Credentials:OTR
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:MCKENZIE
Other - Last Name:WESTFALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4599 S FOREST HILL CT
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:IN
Mailing Address - Zip Code:47960-7669
Mailing Address - Country:US
Mailing Address - Phone:574-870-4834
Mailing Address - Fax:
Practice Address - Street 1:4599 S FOREST HILL CT
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:IN
Practice Address - Zip Code:47960-7669
Practice Address - Country:US
Practice Address - Phone:574-870-4834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31005840A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist