Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blaze Jims Mammen

Individual provider Physical Therapist · NPI 1053775379

Blaze Jims Mammen is a Physical Therapist in Allen, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2016

Practice location Address checks out

2035 W McDermott Dr Ste 460
Allen, TX 75013-4733
Phone: (214) 289-6159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1270540 (TX)

Record details

NPI number1053775379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 12, 2016
Last updated in NPPESApril 12, 2016
Mailing address305 Ne Loop 820, Business Tower 1 ,Suite 200, Hurst, TX 76053-7209

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