Search › Michigan › 225100000X
Matthew Mallory, DPT
NPI 1659835825 · on the registry since 2019 · sole proprietor
Practice
- Address
- 5570 Wilson Ave Sw
Suite A
Grandville, MI 49418 - Phone
- (616) 855-1495
- Fax
- (616) 855-1496
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-02
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 Michigan