Individual
ALAINA COPE MALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9430 PARK WEST BLVD STE 230, KNOXVILLE, TN 37923
(865) 560-8550
(865) 560-8551
Mailing address
PO BOX 32569, KNOXVILLE, TN 37930-2569
(865) 694-7725
(865) 560-8551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9570
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9570
STATE PT LICENSE
TN
05
—
Q031525
—
TN
Enumeration date
09/07/2014
Last updated
09/27/2018
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