Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MYA LEE VANNURDEN
Active
Individual
MYA LEE VANNURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12700
MN
225100000X
Physical Therapist
PT42676
FL
Other
Enumeration date
07/07/2022
Last updated
02/10/2025
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