IndividualActive
Mark Taylor, PT
NPI 1295839371 · Pediatric Physical Therapist · Ammon, ID
Provider details
- NPI number
- 1295839371
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 1205 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3800 Taylorview Ln
Ammon, ID 83406-8145
Phone: (208) 535-0057
Approximate (ZIP-level) locationGet directions
Mailing address
3800 Taylorview Ln
Ammon, ID 83406-8145
Registry dates
- Enumerated
- 2006-09-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.