NPI 1720319148 MR. JEFFREY DONALD MALLORY MSPT ROLLA MO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Jeffrey Donald Mallory - NPI: 1720319148

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. JEFFREY DONALD MALLORY
NPI Number: 1720319148
Entity Type Code: Individual (1)
Gender: M
Credentials: MSPT
License Number: 112290
Business Practice Address: 1200 Mccutchen Rd
Rolla, MO - 654012615
Business Phone Number: 5733642311
Business Fax Number:
Mailing Address: 1100 Grandsir Ave,
ROLLA
State: MO
Postal Code: 654013523
Phone Number:
Fax Number:
NPI Enumeration Date: 01/25/2010
NPI Last Update Date: 01/25/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 225100000X
License Number: 112290
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MO
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


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