Doctor Name: | BRADY MALLOY |
NPI Number: | 1932532660 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1688 PT |
Business Practice Address: | 504 S 13th St Livingston, MT - 590473727 |
Business Phone Number: | 4062227231 |
Business Fax Number: | 4062222435 |
Mailing Address: | 504 S 13th St, LIVINGSTON |
State: | MT |
Postal Code: | 590473727 |
Phone Number: | 4062223541 |
Fax Number: | 4068236287 |
NPI Enumeration Date: | 08/16/2013 |
NPI Last Update Date: | 12/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1688 PT |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |