Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 7149185-1202 | UT |
N | 111NN1001X | Nutrition | 7149185-1202 | UT |
NPI | 1609087253 |
---|---|
Provider Name | Dr. Christopher D Taylor |
First Address | Herriman, UT 84096-3426 |
Second Address | Herriman, UT 84096-3426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 31/10/2011 |