Marissa Lynnae Maxham, PTA

Individual provider Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1205405859

Marissa Lynnae Maxham, PTA is a Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician in Flora, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in: IL
In the registry since: 2021
Specialties on file: 2

What do these letters mean?

PTA — Physical Therapist Assistant: Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

701 Shadwell Ave
Flora, IL 62839-2310
Phone: (618) 662-8361

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary)	Taxonomy 2081P2900X · Licence 160008997 (IL)
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician	Taxonomy 2081H0002X · Licence 160.008997 (IL)

Record details

NPI number	1205405859
Entity type	Individual (Type 1)
Gender	Female
Credentials	PTA
Sole proprietor	No
NPI enumerated	June 18, 2021
Last updated in NPPES	June 18, 2021
Certification date	May 29, 2021