SearchIndiana225100000X

Maynard Utayde, PT

NPI 1699832113 · on the registry since 2007 · sole proprietor

Practice

Address
1409 E Day Rd
Mishawaka, IN 46545
Phone
(574) 257-9880

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana