Individual
MIKAYLA MAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2455 MISSOURI AVE STE B, LAS CRUCES, NM 88001-5122
(575) 556-8440
Mailing address
2455 MISSOURI AVE STE B, LAS CRUCES, NM 88001-5122
(575) 556-8440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6165
NM
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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