Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUKE T MALLORY, DPT
ActiveLUKE T MALLORY, DPT is a Physical Medicine & Rehabilitation healthcare provider located in RATHDRUM, Idaho. NPI 1417712589 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · RATHDRUM, ID
Registration Details
- NPI Number
- 1417712589
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 19, 2024 (2.4655345430805 yrs)
- Last Updated
- Feb 27, 2024
- License
-
PT-8974 (ID)
Practice Information
- Address
-
16658 N HIGHWAY 41RATHDRUM, ID, 838586890Browse ID providers · Browse ZIP 83858
- Phone
- 2086879195
- Fax
- 2086879750
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
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.