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NPI Code Detail

MEDICARE: MIKAYLA BREANNE ADAMS PT, DPT

MEDICARE: MIKAYLA BREANNE ADAMS PT, DPT
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 Therapist1379267TX

General Provider Information

NPI Number : 1548117369
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKAYLA BREANNE ADAMS PT, DPT
Provider Business Mailing Address
First Line : 16861 TARLTON RD
Second Line :
City : MABANK
State : TX
Zip : 75147-2429
Country : US
Telephone Number : 817-349-2777
Fax Number :
Provider Business Practice Location Address
First Line : 5060 DAVIS BLVD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-7004
Country : US
Telephone Number : 817-498-8585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ MIKAYLA BREANNE ADAMS PT, DPT” Practice Location

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