# MALLOY HOLDINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookfield Phyiscal Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659783942
- **Authorized official:** STACIE NICOLE MALLOY DPT (OWNER, PHYSICAL THERAPIST)
- **Authorized official phone:** (660) 258-8645

## Contact information

- **Practice address:** 122 N MAIN ST, BROOKFIELD, MO 64628-1643
- **Practice address phone:** (660) 258-7892
- **Mailing address:** PO BOX 13, BROOKFIELD, MO 64628-0013
- **Mailing address phone:** (660) 258-7892
- **Mailing address fax:** (660) 258-9829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 2010024372 | MO | Yes |

## Other

- **Enumeration date:** 05/21/2014
- **Last updated:** 05/21/2014