Nicholas, Tayla L

Nicholas, Tayla L is an individual health care provider with primary practice located at 6610 Interstate 35 N , Waco TX 76705-1136. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Nicholas, Tayla L can be contacted via phone (254) 235-7604.

Contact Information

Primary practice address
6610 Interstate 35 N Waco TX 76705-1136
Phone: (254) 235-7604
Fax: (254) 235-7612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1136513 Texas

Profile Details

NPI number 1609068287
LBN Legal business name Nicholas, Tayla L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Aug 30th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609068287 NPPES
Texas Other 1136513 PT LICENSE #

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