Taylor Jack Helmboldt
Student in an Organized Health Care Education/Training Program in Memphis, TN. Individual provider (NPI-1).
NPI number1124820105
StatusActive
Last updated in NPPESMar 27, 2025
Details
- NPI
- 1124820105
- Entity type
- Individual (NPI-1)
- Name
- Mr. Taylor Jack Helmboldt
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 27, 2025
- Certification date
- Mar 27, 2025
- Last updated
- Mar 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Other names
- Taylor Jack Boldt (Professional Name)
Practice location
920 Madison AveMemphis, TN 38103-3438
Phone 901-448-5500
Mailing address
371 Bubby DrCollierville, TN 38017-1025
Phone 865-803-6282
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