Provider Demographics
NPI:1073322954
Name:DEIHL, MAIZIE NEL (PT, DPT)
Entity type:Individual
Prefix:
First Name:MAIZIE
Middle Name:NEL
Last Name:DEIHL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:742 SILVER MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:NEW PRAGUE
Mailing Address - State:MN
Mailing Address - Zip Code:56071-4194
Mailing Address - Country:US
Mailing Address - Phone:952-217-7064
Mailing Address - Fax:
Practice Address - Street 1:9108 W 6TH AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-5121
Practice Address - Country:US
Practice Address - Phone:303-484-1232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0020319225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist