Provider Demographics
NPI:1962076307
Name:FEIMSTER, TAYLOR NICOLLE (DC)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:NICOLLE
Last Name:FEIMSTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 UPPER TOM BURKE RD
Mailing Address - Street 2:
Mailing Address - City:GALLATIN GATEWAY
Mailing Address - State:MT
Mailing Address - Zip Code:59730-9737
Mailing Address - Country:US
Mailing Address - Phone:562-881-0119
Mailing Address - Fax:
Practice Address - Street 1:201 W MADISON AVE BLDG 2
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-3958
Practice Address - Country:US
Practice Address - Phone:562-881-0119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTCHI-CHI-LIC-6773111N00000X
MT6773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT6773OtherCHIROPRACTIC LICENSE