Individual provider · Type 1 NPI
Taylor Samuel Quenzer, LAT, ATC
Specialist · Centennial, CO
NPI number
1003771445
Active
Practice location
6377 S Revere Pkwy
Centennial, CO 80111-6487
Mailing address
6377 S Revere Pkwy Ste 250
Centennial, CO 80111-6429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 88-4266830 (CO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1003771445
Taylor Samuel Quenzer, LAT, ATC's National Provider Identifier is 1003771445, issued on Dec 18, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Centennial, CO. The record was last updated on Dec 18, 2025.