Individual provider · Type 1 NPI

Marissa Lynnae Maxham, PTA

Pain Medicine (Physical Medicine & Rehabilitation) Physician · Flora, IL

NPI number 1205405859 Active

Practice location

701 Shadwell Ave
Flora, IL 62839-2310

Call (618) 662-8361 Map

Mailing address

702 Shadwell Ave
Flora, IL 62839-2309

Specialties and licenses

TaxonomyCodeLicense
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X160.008997 (IL)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary 2081P2900X160008997 (IL)

Pain Medicine (Physical Medicine & Rehabilitation) Physician: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

10 other providers at this address

About NPI 1205405859

Marissa Lynnae Maxham, PTA's National Provider Identifier is 1205405859, issued on Jun 18, 2021. The primary taxonomy on file is Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X), and the practice location is in Flora, IL. The record was last updated on Jun 18, 2021.