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

Marisah Mata

Individual provider Physical Therapist · NPI 1750210894

Marisah Mata is a Physical Therapist in Azle, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

613 Profit St
Azle, TX 76020-2421
Phone: (682) 453-7102
Show map & directions

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

Additional practice locations (1)

  • 6340 Cromwell Marine Creek Rd Ste 112, Fort Worth, TX 76179-4565 — (682) 453-7102

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1408275 (TX)

Record details

NPI number1750210894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2026
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address111 Hill Ranch Dr, Weatherford, TX 76085-1303

Other providers in Azle