Individual
MAXWELL AUSTIN MANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4545 N 92ND ST, MILWAUKEE, WI 53225-4807
(414) 464-3880
Mailing address
N75W23469 N RIDGEVIEW CIR, SUSSEX, WI 53089-2067
(815) 222-2915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16155-24
WI
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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