Provider Demographics
NPI:1477595312
Name:MIDDLETON, MARIA ELANA (PTA)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ELANA
Last Name:MIDDLETON
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ELANA
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:329 GOLDEN PICK DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:NV
Mailing Address - Zip Code:89403-7413
Mailing Address - Country:US
Mailing Address - Phone:775-287-7547
Mailing Address - Fax:775-246-4562
Practice Address - Street 1:975 KIRMAN AVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-0993
Practice Address - Country:US
Practice Address - Phone:775-786-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT5153225200000X
NVA-0431225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant