Provider Demographics
NPI:1760601579
Name:MCINTYRE, JOSEPH WADE (PT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:WADE
Last Name:MCINTYRE
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:9200 WORLD CUP WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4945
Mailing Address - Country:US
Mailing Address - Phone:972-712-2669
Mailing Address - Fax:972-712-4514
Practice Address - Street 1:9200 WORLD CUP WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4945
Practice Address - Country:US
Practice Address - Phone:972-712-2669
Practice Address - Fax:972-712-4514
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX10734272251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic