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Contact Information

ALLYSON C MAYNARD, PT, DPT
155 RADIO DR
WOODBURY, MN55125-2619
 Phone: 952-831-8742
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ALLYSON C MAYNARD · (Female)

NPI Number 1962069864
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 05/26/2019
Last updated 08/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 11489
  • MN License # 4730
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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