Provider Demographics
NPI:1447133483
Name:TAYLOR CHIROPRACTIC CLINIC LTD
Entity type:Organization
Organization Name:TAYLOR CHIROPRACTIC CLINIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:804-526-1792
Mailing Address - Street 1:16011 KAIROS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23834-5207
Mailing Address - Country:US
Mailing Address - Phone:804-526-1792
Mailing Address - Fax:804-526-5764
Practice Address - Street 1:16011 KAIROS RD STE 200
Practice Address - Street 2:
Practice Address - City:SOUTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23834-5207
Practice Address - Country:US
Practice Address - Phone:804-526-1792
Practice Address - Fax:804-526-5764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty