MEDICARE: MS. STEFANI ANN WYLIE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1139764	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8T4261	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1306803747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEFANI ANN WYLIE PT

Provider Business Mailing Address
First Line	:	9219 GARLAND RD
Second Line	:	STE 1105
City	:	DALLAS
State	:	TX
Zip	:	75218-3697
Country	:	US
Telephone Number	:	214-324-5851
Fax Number	:	214-324-5728

Provider Business Practice Location Address
First Line	:	9219 GARLAND RD
Second Line	:	STE 1105
City	:	DALLAS
State	:	TX
Zip	:	75218-3697
Country	:	US
Telephone Number	:	214-324-5851
Fax Number	:	214-324-5728

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	09/22/2010

Similar Medicare Providers

1669538377 — LAKEWOOD ORTHOPAEDICS & SPORTS MEDICINE, PA
Practice Location Address:

1130 BEACHVIEW , SUITE 100
DALLAS, TX
75218-3697

Practice Phone: 469-341-5676
Practice Fax: 469-341-5677

1801949052 — SANDRA LEFEVERS PT
Practice Location Address:

9219 GARLAND RD , SUITE 1105
DALLAS, TX
75218-3697

Practice Phone: 214-324-5851
Practice Fax: 214-324-5851

1013201854 — TODD MCCARTY, MD, PA
Practice Location Address:

9219 GARLAND RD , SUITE 2107
DALLAS, TX
75218-3697

Practice Phone: 469-547-6170
Practice Fax: 469-547-6180

1114476827 — OTHA HARRIS III FOUNDER, C.E.O.,
Practice Location Address:

4208 CABELL DR APT 532
DALLAS, TX
75204-3697

Practice Phone: 469-719-5589
Practice Fax:

1508474131 — MICHAELA KING KLOSE APRN FNP BC PLLC
Practice Location Address:

9219 GARLAND RD STE 2107
DALLAS, TX
75218-4639

Practice Phone: 972-664-4995
Practice Fax: 833-970-0961

1528431178 — MICHAELA KING KLOSE
Practice Location Address:

9219 GARLAND RD STE 2107
DALLAS, TX
75218-4639

Practice Phone: 972-664-4995
Practice Fax: 833-970-0961

Directions to “ MS. STEFANI ANN WYLIE PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.