Most Relevant Information
Provider Data
| NPI Number: | 1003009929 |
| Provider Name: | MICHELLE MUNDY TEAGUE PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1169937 |
Most Important Dates
| Enumeration Date: | 08/23/2007 |
| Last Updated: | 08/21/2019 |
Provider Practice Location
1223 W MCDERMOTT DR STE 50
ALLEN
TX
75013
Practice Location Phone/Fax
| Phone: | 9723591288 |
| Fax: | 9723599652 |
Provider Mailing Location
1223 W MCDERMOTT DR STE 50
ALLEN
TX
750136400
Provider Mailing Phone/Fax
| Phone: | 9723591288 |
| Fax: | 9723599652 |