Individual
ANN MICHELLE MAYHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
819 E MOORE AVE STE C, TERRELL, TX 75160-3230
(972) 551-2500
Mailing address
8214 CIRCLEVIEW ST, ROWLETT, TX 75088-4775
(214) 952-0357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1060184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1060184
STATE LICENSE
TX
Enumeration date
12/20/2020
Last updated
12/20/2020
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