Mr Maynard Villavicencio Utayde, PT in Mishawaka, IN

Mr Maynard Villavicencio Utayde, PT is a Physical Therapist based in Mishawaka, Indiana. Mr Maynard Villavicencio Utayde is licensed to practice in Indiana (license number 05005198A) and his current practice location is 1409 E Day Rd, Mishawaka, Indiana. He can be reached at his office (for appointments etc.) via phone at (574) 257-9880.

NPI number for Mr Maynard Villavicencio Utayde is 1699832113 and his current mailing address is 51470 Norwich Dr, Granger, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699832113.

Contact Information

	Mr Maynard Villavicencio Utayde, PT
	1409 E Day Rd, Mishawaka, IN 46545-3671
	(574) 257-9880
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Maynard Villavicencio Utayde
Gender	Male
Speciality	Physical Therapist
Location	1409 E Day Rd, Mishawaka, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1699832113
Provider Enumeration Date: 01/03/2007
Last Update Date: 07/17/2016

Medical Identifiers

Medical identifiers for Mr Maynard Villavicencio Utayde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699832113	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05005198A (Indiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Maynard Villavicencio Utayde is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Maynard Villavicencio Utayde, PT 51470 Norwich Dr, Granger, IN 46530-8426 Ph: (574) 257-9880	Mr Maynard Villavicencio Utayde, PT 1409 E Day Rd, Mishawaka, IN 46545-3671 Ph: (574) 257-9880

Reviews and Comments

Physical Therapist in Mishawaka, IN

Coronel Einna-ernest Lopez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5325 Grape Rd Ste C, Mishawaka, IN 46545 Phone: 574-404-8405 Fax: 574-314-9034
Cory Goodson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 E Douglas Rd, Mishawaka, IN 46545 Phone: 574-307-7200
Leslie Ann Laughlin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 W Day Rd, Mishawaka, IN 46545 Phone: 574-256-9420 Fax: 574-256-9465
Eduardo Campos-hernandez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 Lincolnway E Ste 100, Mishawaka, IN 46544 Phone: 574-647-2560 Fax: 574-647-2563
Ergonomic Health Solutions Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3640 Edison Lakes Pkwy, Suite B, Mishawaka, IN 46545 Phone: 574-256-6704 Fax: 574-256-2284
Mr. Travis Wayne Vander Reyden, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 60160 Bodnar Blvd, Mishawaka, IN 46544 Phone: 574-247-9441
Jonathan D.v. Sanner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3740 Edison Lakes Pkwy, Mishawaka, IN 46545 Phone: 574-252-4150 Fax: 574-252-4159

Mr Maynard Villavicencio Utayde, PT - Physical Therapist in Mishawaka, IN