MEDICARE: MARK W MUELLER P.T.

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	1169570	TX

General Provider Information

NPI Number	:	1235255357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK W MUELLER P.T.

Provider Business Mailing Address
First Line	:	2812 CHEVERNY DRIVE
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070
Country	:	US
Telephone Number	:	469-361-6881
Fax Number	:

Provider Business Practice Location Address
First Line	:	2046 FOREST LN
Second Line	:	SUITE 180
City	:	GARLAND
State	:	TX
Zip	:	75042-7958
Country	:	US
Telephone Number	:	972-494-1419
Fax Number	:	972-494-2069

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

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	03/16/2009

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Directions to “ MARK W MUELLER P.T.” Practice Location

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