Physical Therapist
TAYLOR LIFE LAT, ATC, PT, DPT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1316413511 · enumerated 2018-10-16 · record updated 2023-11-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1650 LYNDON FARM CT STE 300, LOUISVILLE, KY, 40223-5005 (304) 917-3660 Fax (304) 917-3674 Google Maps Apple Maps OpenStreetMap
- Practice location 63 HOSPITALITY LN STE 3, MINERAL WELLS, WV, 26150-6705 (304) 489-8100 Fax (304) 489-8191 Google Maps Apple Maps OpenStreetMap
Specialties
- Specialist/Technologist, Athletic Trainer 2255A2300X · License AT001684 WV
- Physical Therapist 225100000X · Primary · License PT004688 WV
In this directory
Locations and evidence
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Practice location
MINERAL WELLS, WV, 261506705
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.