Most Relevant Information
Provider Data
| NPI Number: | 1003679143 |
| Provider Name: | TAYLAN ENTRIKEN |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 123719 |
Most Important Dates
| Enumeration Date: | 02/01/2024 |
| Last Updated: | 02/01/2024 |
Provider Practice Location
1000 W LINCOLN WAY
JEFFERSON
IA
501291645
Practice Location Phone/Fax
| Phone: | 5153864284 |
| Fax: |
Provider Mailing Location
PO BOX 461
NEVADA
IA
502010461
Provider Mailing Phone/Fax
| Phone: | 5153823366 |
| Fax: |