Provider Demographics
NPI:1770904013
Name:MCVAY PHYSICAL THERAPY & WELLNESS, LLC
Entity type:Organization
Organization Name:MCVAY PHYSICAL THERAPY & WELLNESS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MILLER
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:MCVAY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:214-449-6546
Mailing Address - Street 1:7704 ROCKLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7635
Mailing Address - Country:US
Mailing Address - Phone:214-449-6545
Mailing Address - Fax:
Practice Address - Street 1:7704 ROCKLEDGE DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7635
Practice Address - Country:US
Practice Address - Phone:214-449-6545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1183870251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health