Provider Demographics
NPI:1982930061
Name:TAYLOR, AARA LYNN (PTA)
Entity type:Individual
Prefix:MRS
First Name:AARA
Middle Name:LYNN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7919 OWL LN
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77523-2042
Mailing Address - Country:US
Mailing Address - Phone:409-550-5370
Mailing Address - Fax:936-258-2258
Practice Address - Street 1:310 E LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TX
Practice Address - Zip Code:77535-1805
Practice Address - Country:US
Practice Address - Phone:409-550-5370
Practice Address - Fax:936-258-2258
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2053161225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant