Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MAYNARD VILLAVICENCIO UTAYDE, PT
Active Sole ProprietorMR. MAYNARD VILLAVICENCIO UTAYDE, PT is a Physical Therapy Assistant healthcare provider located in MISHAWAKA, Indiana. NPI 1699832113 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MISHAWAKA, IN
Registration Details
- NPI Number
- 1699832113
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2007 (19.573699644982 yrs)
- Last Updated
- Jul 17, 2016
- License
-
05005198A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1409 E DAY RDMISHAWAKA, IN, 465453671Browse IN providers · Browse ZIP 46545
- Phone
- 5742579880
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MISHAWAKA, IN
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID YUGO | PHYSICAL THERAPIST | 1144216979 |
| MRS. JENNIFER CHRISTY-GRIMM | P.T. | 1447304639 |
| MRS. DAWN R LAPIERRE | M.P.T. | 1831230028 |
| MANICAR DOMANTAY FERNANDEZ | PT | 1477750396 |
| MARY L KRAUSE | PT | 1205036753 |
| MRS. DARLA J LINGLE | PT | 1144420563 |
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.