Provider Demographics
NPI:1952037079
Name:GAGE, ABBE TAYLOR (DC)
Entity Type:Individual
Prefix:DR
First Name:ABBE
Middle Name:TAYLOR
Last Name:GAGE
Suffix:
Gender:F
Credentials:DC
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 196
Mailing Address - Street 2:
Mailing Address - City:CARNELIAN BAY
Mailing Address - State:CA
Mailing Address - Zip Code:96140-0196
Mailing Address - Country:US
Mailing Address - Phone:530-584-9446
Mailing Address - Fax:
Practice Address - Street 1:2690 LAKE FOREST RD
Practice Address - Street 2:
Practice Address - City:TAHOE CITY
Practice Address - State:CA
Practice Address - Zip Code:96145-2088
Practice Address - Country:US
Practice Address - Phone:530-584-9446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-29
Last Update Date:2023-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01956111N00000X
CA112608225700000X
CADC36531111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist