Individual
DR. MICAH JAMES MALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
730 14TH ST SW, LOVELAND, CO 80537-6349
(970) 663-0815
Mailing address
744 GRAND MARKET AVE, BERTHOUD, CO 80513-2710
(970) 290-5708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0000010852
TN
225100000X
Physical Therapist
0013435
CO
225100000X
Physical Therapist
003501
WV
225100000X
Physical Therapist
61816
OR
2251X0800X
Orthopedic Physical Therapist
Primary
0013435
CO
Other
Enumeration date
10/06/2016
Last updated
10/03/2022
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