Individual
MRS. KARISSA MAE MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2850 RUBY VISTA DR, ELKO, NV 89801-1615
(775) 753-5500
Mailing address
2850 RUBY VISTA DR, ELKO, NV 89801-1615
(775) 753-5500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0667
NV
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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