Provider Demographics
NPI:1871393983
Name:NEZ, TAYLA MORGAN
Entity type:Individual
Prefix:
First Name:TAYLA
Middle Name:MORGAN
Last Name:NEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 582
Mailing Address - Street 2:
Mailing Address - City:MANY FARMS
Mailing Address - State:AZ
Mailing Address - Zip Code:86538-3582
Mailing Address - Country:US
Mailing Address - Phone:480-907-8575
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 582
Practice Address - Street 2:
Practice Address - City:MANY FARMS
Practice Address - State:AZ
Practice Address - Zip Code:86538-3582
Practice Address - Country:US
Practice Address - Phone:480-907-8575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer