Provider Demographics
NPI:1104945211
Name:MAJORS, DYE ANNE (PT)
Entity type:Individual
Prefix:MRS
First Name:DYE ANNE
Middle Name:
Last Name:MAJORS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2844 S TORREY PINES DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5143
Mailing Address - Country:US
Mailing Address - Phone:702-367-6546
Mailing Address - Fax:
Practice Address - Street 1:129 W LAKE MEAD PKWY
Practice Address - Street 2:SUITE #2
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-7055
Practice Address - Country:US
Practice Address - Phone:702-564-6712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0061225100000X
IDPT-808225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV31734Medicare ID - Type Unspecified
NVS75692Medicare UPIN