Individual
MICHAELA MATHERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
11980
LA
208100000X
Physical Medicine & Rehabilitation Physician
CP042470T
TX
225100000X
Physical Therapist
Primary
CP052517T
AZ
Other
Enumeration date
02/25/2025
Last updated
01/30/2026
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