Provider Demographics
NPI:1285347690
Name:CUEVAS, MARITZA (PT DPT LSVT)
Entity type:Individual
Prefix:
First Name:MARITZA
Middle Name:
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:PT DPT LSVT
Other - Prefix:
Other - First Name:MARITZA
Other - Middle Name:
Other - Last Name:CUEVAS GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 FOX RD STE 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-9000
Mailing Address - Country:US
Mailing Address - Phone:865-351-0615
Mailing Address - Fax:865-622-9566
Practice Address - Street 1:111 FOX RD STE 101
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-9000
Practice Address - Country:US
Practice Address - Phone:965-351-0615
Practice Address - Fax:865-622-9566
Is Sole Proprietor?:No
Enumeration Date:2022-12-30
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14254225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist