Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DWAYNE E MAXAM, PT
ActiveDWAYNE E MAXAM, PT is a Physical Therapy Assistant healthcare provider located in ST LOUIS, Missouri. NPI 1285696401 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ST LOUIS, MO
Registration Details
- NPI Number
- 1285696401
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2006 (20.334983061684 yrs)
- Last Updated
- Jul 8, 2007
- License
-
113728 (MO)
Practice Information
- Address
-
3518 LACLEDEMARCHETTI EASTST LOUIS, MO, 631032011Browse MO providers · Browse ZIP 63103
- Phone
- 3149772323
- Fax
- 3149777165
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ST LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER ANN SHEEHAN | MPT | 1255442299 |
| JULIE CRISTYN FLYNN | MPT | 1295846244 |
| MRS. MEGAN REBECCA ANNA | — | 1801997069 |
| MR. JOSEPH DANIEL HENNEKES | MPT | 1609977867 |
| MRS. ANGELA MARIE HANFORD | PT | 1912008186 |
| PAMELA R GONZALES | PT | 1700903366 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.