Provider Demographics
NPI:1932474921
Name:RUFFUS, MAYA L (DPT)
Entity Type:Individual
Prefix:
First Name:MAYA
Middle Name:L
Last Name:RUFFUS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13810 W SANDRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4465
Mailing Address - Country:US
Mailing Address - Phone:678-918-0778
Mailing Address - Fax:
Practice Address - Street 1:13810 W SANDRIDGE DR
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4465
Practice Address - Country:US
Practice Address - Phone:678-918-0778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-09
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT008899225100000X
AZLPT-011337225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist