Individual ProviderTerry TaylorMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address709 N Main St, North Syracuse, NY 13212-1669(315) 373-4933PECOS EnrollmentBased on the most recent information from CMS, provider Terry Taylor does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1528523164Provider TypeIndividualFull NameTaylor, TerryGenderFemaleSole ProprietorNoEnumeration Date2/7/2019Last Updated2/7/2019Contact InformationPractice LocationPractice Address709 N Main St, North Syracuse, NY 13212-1669Phone(315) 373-4933FaxUnlisted FaxMailing LocationMailing Address709 N Main St, North Syracuse, NY 13212-1669Phone(315) 373-4933FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense030936New York