Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dwayne E Maxam, PT

Individual provider Physical Therapist · NPI 1285696401

Dwayne E Maxam, PT is a Physical Therapist in St. Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3518 Laclede Marchetti E
St. Louis, MO 63103-2011
Phone: (314) 977-2323
Fax: (314) 977-7165
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 113728 (MO)

Record details

NPI number1285696401
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 4, 2006
Last updated in NPPESJuly 13, 2026
Mailing address3437 Caroline Mall, St Louis, MO 63104-1111

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