Provider Demographics
NPI:1417151796
Name:SETTLEMYRE, MARY ANN (PT)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:ANN
Last Name:SETTLEMYRE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:ANN
Other - Last Name:DONOHUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:409 JOHN S MOSBY DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-7122
Mailing Address - Country:US
Mailing Address - Phone:910-790-7810
Mailing Address - Fax:
Practice Address - Street 1:409 JOHN S MOSBY DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-7122
Practice Address - Country:US
Practice Address - Phone:910-790-7810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5857225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist