Stacie Nicole Malloy, DPT
NPI #1134566144 in Brookfield, Missouri
Provider Information
- NPI Number
- 1134566144
- Entity Type
- Individual
- Name
- Stacie Nicole Malloy, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- DPT
- Enumeration Date
- May 30, 2013
- Last Updated
- May 20, 2014
Practice Location
- Address
- 122 N MAIN ST
- City
- Brookfield
- State
- Missouri
- ZIP Code
- 64628-1643
- Phone
- (660) 258-7892
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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