Search › Missouri › 175T00000X
Tyler Mallory, CPS,CHW-C
NPI 1831998764 · on the registry since 2025 · sole proprietor
Practice
- Address
- 105 S Weber Ave
Salisbury, MO 65281 - Phone
- (660) 338-5001
- Organisation at this address
- Root Awakening Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-12
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 Missouri