SearchIllinois225100000X

Mallory Doedtman, DPT

NPI 1982042461 · on the registry since 2013

Practice

Address
12704 E 1975th Ave
Effingham, IL 62401
Phone
(217) 821-4715

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-06-06

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 Illinois