| Doctor Name: | MRS. TARA MAYFIELD |
| NPI Number: | 1558670125 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 9100 |
| Business Practice Address: | 323 S. Gilbert Rd Ste. 115 Gilbert, AZ - 852961608 |
| Business Phone Number: | 4806326667 |
| Business Fax Number: | 4806326668 |
| Mailing Address: | 323 S. Gilbert Rd, Ste. 115 GILBERT |
| State: | AZ |
| Postal Code: | 852961608 |
| Phone Number: | 4806326667 |
| Fax Number: | 4806326668 |
| NPI Enumeration Date: | 09/30/2010 |
| NPI Last Update Date: | 10/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 9100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |