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NPI Code Detail

MEDICARE: MRS. AIMEE LEANN WHITFIELD MS PT

MEDICARE: MRS. AIMEE LEANN WHITFIELD MS 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
1225100000XPhysical Therapist189514TX

General Provider Information

NPI Number : 1497882757
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AIMEE LEANN WHITFIELD MS PT
Provider Business Mailing Address
First Line : 74 REGENCY PKWY
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-7816
Country : US
Telephone Number : 817-419-6111
Fax Number : 817-701-4902
Provider Business Practice Location Address
First Line : 74 REGENCY PKWY
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-7816
Country : US
Telephone Number : 817-419-6111
Fax Number : 817-419-4902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 05/07/2025

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