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Search › Tennessee › 225200000X

Randall Taylor, PTA

NPI 1356508824 · on the registry since 2008 · sole proprietor

Practice

Address
406 E Mountain View Rd
Johnson City, TN 37601
Phone
(423) 202-7500
Fax
(423) 202-7522
Organisation at this address
Ssa Johnson City Alf, Llc
Ec Opco Johnson City, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
Licence states on file
KY, TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee