Allyson Carol Maynard, PT, DPT
Physical Therapist in Woodbury, MN. Individual provider (NPI-1).
NPI number1962069864
StatusActive
Last updated in NPPESAug 20, 2021
Details
- NPI
- 1962069864
- Entity type
- Individual (NPI-1)
- Name
- Allyson Carol Maynard
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2019
- Certification date
- Aug 20, 2021
- Last updated
- Aug 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 11489 | MN | Yes |
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | 4730 | MN |
Practice location
155 Radio DrWoodbury, MN 55125-2619
Phone 952-831-8742
Mailing address
5430 Southridge CirWoodbury, MN 55129-5520
Phone 949-351-2635
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All 154 Physical Therapist providers in Woodbury · All 3,087 providers in Woodbury
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