Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CPO2382 | VA |
N | 222Z00000X | Podiatrist | CPO2382 | VA |
Y | 224P00000X | Prosthetist | CPO2382 | VA |
N | 225000000X | Orthotic Fitter | CPO2382 | VA |
NPI | 1932474749 |
---|---|
Provider Name | Mr. Daniel Taylor Cotton |
First Address | Overland Park, KS 66211-1509 |
Second Address | Overland Park, KS 66211-1509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2012 |
Last Update Date | 12/03/2012 |