Most Relevant Information
Provider Data
| NPI Number: | 1003536475 |
| Provider Name: | TAYLOR WINGSTROM DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 32504 |
Most Important Dates
| Enumeration Date: | 08/29/2022 |
| Last Updated: | 08/29/2022 |
Provider Practice Location
41818 N VENTURE DR STE 120
PHOENIX
AZ
850863189
Practice Location Phone/Fax
| Phone: | 6237427338 |
| Fax: |
Provider Mailing Location
16601 N 12TH ST APT 3057
PHOENIX
AZ
850227728
Provider Mailing Phone/Fax
| Phone: | 9707685521 |
| Fax: |