Individual provider · Type 1 NPI

Maynard Villavicencio Utayde, PT

Physical Therapist · Mishawaka, IN

NPI number 1699832113 Active

Practice location

1409 E Day Rd
Mishawaka, IN 46545-3671

Mailing address

51470 Norwich Dr
Granger, IN 46530-8426

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X05005198A (IN)

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 1699832113

Maynard Villavicencio Utayde, PT's National Provider Identifier is 1699832113, issued on Jan 3, 2007. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Mishawaka, IN. The record was last updated on Jul 17, 2016.