Provider Demographics
NPI:1740688928
Name:TAYLOR, ALEISHA ANN (DC)
Entity type:Individual
Prefix:DR
First Name:ALEISHA
Middle Name:ANN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ALEISHA
Other - Middle Name:TAYLOR
Other - Last Name:LEISEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:179 WALKBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-9278
Mailing Address - Country:US
Mailing Address - Phone:803-563-0467
Mailing Address - Fax:
Practice Address - Street 1:137 AMICKS FERRY RD STE 101
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-8370
Practice Address - Country:US
Practice Address - Phone:803-760-7862
Practice Address - Fax:803-234-5335
Is Sole Proprietor?:No
Enumeration Date:2014-12-19
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3992111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor