Mike John Maynard in San Diego - Physical Therapy Assistant
Mike John Maynard - NPI 1700901253
Mike John Maynard is a Physical Therapy Assistant in San Diego, California. Mike John Maynard practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Mike John Maynard is 1700901253. The last update date is 2007-07-08.
Mike John Maynard's current location address is 4655 Ruffner St, San Diego, California. You can contact this provider via phone number 8007876787. The mailing address for Mike John Maynard is 4655 Ruffner St, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mike John Maynard |
|---|---|
| Address | 4655 Ruffner St, San Diego, California |
| Phone Number | 8007876787 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1700901253 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4655 Ruffner St |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921112275 |
| Phone Number | 8007876787 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 3934 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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What is the unique identifier code issued to Mike John Maynard by the Centers for Medicare & Medicaid Services (CMS)?
The Mike John Maynard has been assigned the NPI (National Provider Identifier) 1700901253. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Mike John Maynard located?
The Mike John Maynard is located at 4655 Ruffner St, San Diego, CA 921112275.
What is the area of specialization for Mike John Maynard, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mike John Maynard is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 225200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1700901253 to Mike John Maynard?
The Mike John Maynard received its 1700901253 assignment from the Centers for Medicare & Medicaid Services on 2007-03-20.
As of what date were the Mike John Maynard's details last updated?
The information pertaining to the Mike John Maynard, including its address, specialty, and other details, was most recently updated on 2007-07-08.