Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSTICO MALLILLIN
ActiveRUSTICO MALLILLIN is a Physical Therapy Assistant healthcare provider located in BRIDGETON, Missouri. NPI 1487758769 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BRIDGETON, MO
Registration Details
- NPI Number
- 1487758769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2006 (19.891127747912 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
3446 MCKELVEY RDBRIDGETON, MO, 630442525Browse MO providers · Browse ZIP 63044
- Phone
- 3142980353
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BRIDGETON, MO
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN MATTHEW WAGNER | MD PT CERT MDT | 1295735926 |
| MISS LANA DASILVA ALLEN | P.T. | 1679515027 |
| MISS KELLY C HOLSCHEN | PT | 1063423275 |
| PATRICIA ACKERMANN | — | 1093821332 |
| PATIENCE WESTFALL | — | 1932219458 |
| LISE DALY GARGER | PT | 1780794875 |
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.