MAXEEN WYATT MT
NPI 1336308188
Specialist in South Portland, ME

Q: What is Maxeen Wyatt's NPI number?

The NPI number for Maxeen Wyatt is 1336308188. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Q: What is Maxeen Wyatt's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Maxeen Wyatt was last updated on June 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 06, 2008

380 WESTERN AVE, SOUTH PORTLAND, ME 04106(207) 282-5110 Get Directions Write a Review

NPPES record last updated: June 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Maxeen Wyatt Mt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXEEN WYATT MT (NPI 1336308188) is an individual specialist in South Portland, Maine, licensed in Maine (MT3231) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1336308188

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMAXEEN WYATTCredential: MT

Location Address380 WESTERN AVESouth Portland, ME 04106-1720

Mailing Address380 Western AveSouth Portland, ME 04106-1720 · (207) 239-4240

Phone(207) 282-5110

Sole ProprietorYes

Enumeration DateJune 6, 2008

✔ NPI 1336308188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in ME · MT3231

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

380 WESTERN AVE, South Portland, ME 04106

Open in Google Maps ↗

Other Identifiers 1

Other200890ME · Anthem Blue Cross Blue Shield

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH ANDREWS DPT

Physical Therapist

380 WESTERN AVE
SOUTH PORTLAND, ME 04106

Cumberland County (207) 808-8908

TAMMY MARTIN CASEY L.M.T.

Massage Therapist

380 WESTERN AVE
SOUTH PORTLAND, ME 04106

Cumberland County (207) 233-7731

ELLA MACVEAGH PT

Physical Therapist

380 WESTERN AVE
SOUTH PORTLAND, ME 04106

Cumberland County (207) 808-8908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxeen Wyatt's NPI number?

The NPI number for Maxeen Wyatt is 1336308188. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Maxeen Wyatt located?

Maxeen Wyatt practices at 380 Western Ave, South Portland, ME 04106. The listed phone number is (207) 282-5110.

What is Maxeen Wyatt's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Maxeen Wyatt was last updated on June 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.