Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REBECCA MARIE MALLON, RDN, LD
ActiveSports Dietetics · IOWA CITY, IA
Registration Details
- NPI Number
- 1134754500
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2020 (6.1297560927736 yrs)
- Last Updated
- Mar 6, 2020
- License
-
098024 (IA)
Practice Information
- Address
-
2701 PRAIRIE MEADOW DRIOWA CITY, IA, 522428001Browse IA providers · Browse ZIP 52242
- Phone
- 3193847070
- Primary Specialty
-
Sports Dietetics
133VN1501X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.