Basic Information
Provider Information
NPI: 1104945211
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAJORS
FirstName: DYE ANNE
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2844 S TORREY PINES DR
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891465143
CountryCode: US
TelephoneNumber: 7023676546
FaxNumber:  
Practice Location
Address1: 129 W LAKE MEAD PKWY
Address2: SUITE #2
City: HENDERSON
State: NV
PostalCode: 890157055
CountryCode: US
TelephoneNumber: 7025646712
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/28/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X0061NVY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000XPT-808IDN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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