NPI 1023560638

Jason Alan Maxwell, PTA

Practitioner Physical Therapy Assistant Fort Wayne, IN

Practice location

Address: 7525 Maplecrest Rd # 112, Fort Wayne, IN 46835-1897
Phone: (260) 273-1206

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 06005269A (IN)

Other Physical Therapy Assistant providers in Indiana →

Registry record

NPI: 1023560638
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Oct 2016
Record last updated: 30 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.