Provider Demographics
NPI:1053959114
Name:BAIR, TAYLOR MARIE
Entity type:Individual
Prefix:MISS
First Name:TAYLOR
Middle Name:MARIE
Last Name:BAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 W 1ST ST STE 300
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-1111
Mailing Address - Country:US
Mailing Address - Phone:937-223-5201
Mailing Address - Fax:
Practice Address - Street 1:118 W 1ST ST STE 300
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-1111
Practice Address - Country:US
Practice Address - Phone:937-223-5201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator