Doctor Name: | MRS. JESSICA KATHERINE MALOUF |
NPI Number: | 1477703049 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 2171PT |
Business Practice Address: | 1030 Centre Ave Ste B Fort Collins, CO - 805261849 |
Business Phone Number: | 1406542307 |
Business Fax Number: | |
Mailing Address: | 1030 Centre Ave, Ste B FORT COLLINS |
State: | CO |
Postal Code: | 805261849 |
Phone Number: | 1406542307 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2008 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2171PT |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |