Individual provider · Type 1 NPI

Dwayne E. Maxam, PT

Physical Therapist · St. Louis, MO

NPI number 1285696401 Active

Practice location

3518 Laclede, Marchetti East
St. Louis, MO 63103-2011

Fax (314) 977-7165

Mailing address

3437 Caroline Mall
St. Louis, MO 63104-1111

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X113728 (MO)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1285696401

Dwayne E. Maxam, PT's National Provider Identifier is 1285696401, issued on Apr 4, 2006. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2026.