| Doctor Name: | BRETT A TAYLOR |
| NPI Number: | 1023083011 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 2002002156 |
| Business Practice Address: | 884 Woods Mill Rd Suite 201 Ballwin, MO - 630113657 |
| Business Phone Number: | 6362278226 |
| Business Fax Number: | |
| Mailing Address: | 884 Woods Mill Rd, Suite 201 BALLWIN |
| State: | MO |
| Postal Code: | 630113657 |
| Phone Number: | 6362278226 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2006 |
| NPI Last Update Date: | 07/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 2002002156 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |