Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAZE JIMS MAMMEN
Active Sole ProprietorBLAZE JIMS MAMMEN is a Physical Therapy Assistant healthcare provider located in ALLEN, Texas. NPI 1053775379 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ALLEN, TX
Registration Details
- NPI Number
- 1053775379
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2016 (10.34158462008 yrs)
- Last Updated
- Apr 12, 2016
- License
-
1270540 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2035 W MCDERMOTT DR STE 460ALLEN, TX, 750134733Browse TX providers · Browse ZIP 75013
- Phone
- 2142896159
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ALLEN, TX
| Name | Credential | NPI |
|---|---|---|
| MARK ANTHONY LINANE | PT, MS | 1700854304 |
| AVARI GARCIA | PT | 1144263435 |
| LYNN KERNAN | PT | 1043325723 |
| MR. MICHAEL BYRON FISHER | MPT | 1902913635 |
| ANDREA MAGEE | M.P.T. | 1922119478 |
| STEPHEN BLACK | — | 1356428957 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.