Healthcare Provider Details

I. General information

NPI: 1841419769
Provider Name (Legal Business Name): MARY KAREN MERTZ MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39570 SPANISH OAKS DR
TEMECULA CA
92592-8477
US

IV. Provider business mailing address

39570 SPANISH OAKS DR
TEMECULA CA
92592-8477
US

V. Phone/Fax

Practice location:
  • Phone: 951-314-4806
  • Fax: 951-696-3808
Mailing address:
  • Phone: 951-314-4806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: