Marissa L. Maxham, PTA
Interventional Pain (PM&R) · Flora, IL
UnclaimedPTANPI 1205405859
- Primary taxonomy
- 2081P2900X
- Enumerated
- 2021-06-18
- Practice location
- Flora, IL
- Last NPPES update
- 2021-06-18
State licenses
- IL · Physician · NPPES self-reportedListed on NPI record
- IL · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.