Custer, Taylor
Custer, Taylor is an individual health care provider with primary practice located at 2915 North 4Th Street , Flagstaff AZ 86004. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Other Service Providers / Specialist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Custer, Taylor can be contacted via phone (928) 779-1679.Contact Information
Primary practice address
2915 North 4Th Street
Flagstaff AZ 86004
Phone: (928) 779-1679
Fax: (928) 779-2822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 7317 | Arizona |
| Other Service Providers / Specialist | 174400000X | 7317 | Arizona |
Profile Details
| NPI number | 1851472559 |
|---|---|
| LBN Legal business name | Custer, Taylor |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Aug 5th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851472559 | NPPES |
| Arizona | Other | 137175 | AHCCCS # |
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