Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW DAVID MALLORY, DPT
Active Sole ProprietorDR. MATTHEW DAVID MALLORY, DPT is a Physical Therapy Assistant healthcare provider located in GRANDVILLE, Michigan. NPI 1659835825 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GRANDVILLE, MI
Registration Details
- NPI Number
- 1659835825
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2019 (7.5646983114541 yrs)
- Last Updated
- Aug 2, 2021
- License
-
11564 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5570 WILSON AVE SWSUITE AGRANDVILLE, MI, 49418Browse MI providers · Browse ZIP 49418
- Phone
- 6168551495
- Fax
- 6168551496
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GRANDVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. LAURIE GRACE STICKLER | P.T. | 1780681882 |
| MR. JEFFREY SCOTT CARTER | PT | 1891754503 |
| MR. KIRK CHRISTOPHER RANDALL | P.T. | 1235172826 |
| LISA J VIS | MSPT | 1083715619 |
| MRS. KENDRA GAIL WALTERS | MSPT | 1265533863 |
| AMY LYNN ELLIOTT | P.T. | 1811071939 |
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.