Healthcare Provider Details

I. General information

NPI: 1538444781
Provider Name (Legal Business Name): MAEGAN M HARDER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAEGAN WHEELER

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 E 1ST ST
DUMAS TX
79029-3219
US

IV. Provider business mailing address

3907 KILEEN DR
AMARILLO TX
79109-3921
US

V. Phone/Fax

Practice location:
  • Phone: 806-934-2634
  • Fax:
Mailing address:
  • Phone: 806-274-8585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1203586
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: