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Mallory Damon, PTA

NPI 1376189233 · on the registry since 2019 · sole proprietor

Practice

Address
510 W 7th St
Ellinwood, KS 67526
Phone
(629) 564-2337
Organisation at this address
Five Star Quality Care-Ks Llc
Diversicare Of Ellinwood, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-11-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas