Most Relevant Information
Provider Data
| NPI Number: | 1003501990 |
| Provider Name: | MAXWELL TREVOR MCCLURE PT |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | PT015517 |
Most Important Dates
| Enumeration Date: | 04/07/2023 |
| Last Updated: | 04/07/2023 |
Provider Practice Location
1030 JEFFERSON AVE
MEMPHIS
TN
381042127
Practice Location Phone/Fax
| Phone: | 9015238990 |
| Fax: |
Provider Mailing Location
1030 JEFFERSON AVE
MEMPHIS
TN
381042127
Provider Mailing Phone/Fax
| Phone: | 9015238990 |
| Fax: |