Provider Demographics
NPI:1215713912
Name:ROGERS, TAYLOUR (MS LAT, ATC, CES)
Entity type:Individual
Prefix:
First Name:TAYLOUR
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MS LAT, ATC, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 1ST ST SE APT 1219
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4931
Mailing Address - Country:US
Mailing Address - Phone:419-206-9344
Mailing Address - Fax:
Practice Address - Street 1:1000 1ST ST SE APT 1219
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4931
Practice Address - Country:US
Practice Address - Phone:419-206-9344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer