Maria Etzel Uypuanco, P.T
Individual provider Active NPI Physical Therapist · West Terre Haute, IN
NPI 1093072399 · NPPES record last updated Apr 12, 2012
Key facts
- NPI
- 1093072399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05007688A (IN)
- Practice address
- 3461 Saint Marys Rd
West Terre Haute, IN 47885-9683 - Phone
- (812) 917-5618
- Fax
- (812) 917-5618
- NPI assigned
- Apr 12, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05007688A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05007688A | IN | Yes |
Addresses
Primary practice location
3461 Saint Marys Rd
West Terre Haute, IN 47885-9683
Mailing address
3461 Saint Marys Rd
West Terre Haute, IN 47885-9683
Phone (812) 917-5618
Other providers in West Terre Haute, IN
- Judy B Stclair
- Kylee Marie Stepp
- Jessica L Stewart
- Abigail Trout
- Union Hospital Inc
- Valley Professionals Community Health Center Inc
- Melody Kate Waring
- Ashley Rae Wayt
- Billie Wenzel
- Arrianne Marie Whittaker
All providers in West Terre Haute, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.