Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN ROSE MALLET, DPT
ActiveJACQUELYN ROSE MALLET, DPT is a Physical Therapy Assistant healthcare provider located in SPIRIT LAKE, Idaho. NPI 1962243063 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SPIRIT LAKE, ID
Registration Details
- NPI Number
- 1962243063
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2024 (2.1806546722659 yrs)
- Last Updated
- Jun 3, 2024
- License
-
PT-9060 (ID)
Practice Information
- Address
-
6186 W MAINE STSPIRIT LAKE, ID, 838690149Browse ID providers · Browse ZIP 83869
- Phone
- 2084491596
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SPIRIT LAKE, ID
| Name | Credential | NPI |
|---|---|---|
| MICHAEL VICTOR NOWACK | D.P.T | 1407940497 |
| ADAM WHEELER | PT | 1508109331 |
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.