Individual
MICHELLE RENEE MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
208 W MAIN CROSS ST, P O BOX 35, MILLER CITY, OH 45864-0035
(419) 876-3959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012447
OH
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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