Provider Demographics
NPI:1285321919
Name:HILTON, TAYLOR N (MS, LAT, ATC)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:N
Last Name:HILTON
Suffix:
Gender:
Credentials:MS, LAT, ATC
Other - Prefix:MISS
Other - First Name:TAYLOR
Other - Middle Name:N
Other - Last Name:NATZKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LAT, ATC
Mailing Address - Street 1:200 WILLARD ST APT 204
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-2455
Mailing Address - Country:US
Mailing Address - Phone:920-412-9558
Mailing Address - Fax:
Practice Address - Street 1:135 MYERS FIELDHOUSE
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-6171
Practice Address - Country:US
Practice Address - Phone:507-389-1866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-21
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN37392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty