MR. Jeffrey Donald Mallory, MSPT

NPI #1720319148 in Rolla, Missouri

Provider Information

NPI Number: 1720319148
Entity Type: Individual
Name: MR. Jeffrey Donald Mallory, MSPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: Jan 25, 2010
Last Updated: Jan 25, 2010

Practice Location

Address: 1200 MCCUTCHEN RD
City: Rolla
State: Missouri
ZIP Code: 65401-2615
Phone: (573) 364-2311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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