Individual
MALLORY NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
201 S ELM AVE STE 202, EATON, CO 80615-8267
(970) 454-2560
Mailing address
12520 BARTON ST, OVERLAND PARK, KS 66213-2139
(870) 612-4623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1334433
TX
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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