Braddock, Taylor Mackenzie

Braddock, Taylor Mackenzie is an sole proprietor health care provider with primary practice located at 130A James Otis Smith Drive , Walnut MS 38683. She recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as her primary health care specialty. Braddock, Taylor Mackenzie can be contacted via phone (662) 223-0047.

Contact Information

Primary practice address
130A James Otis Smith Drive Walnut MS 38683
Phone: (662) 223-0047
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 7204 Mississippi

Profile Details

NPI number 1659030450
LBN Legal business name Braddock, Taylor Mackenzie
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2021
Last updated Dec 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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