Individual
ISAAC JOHN MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1615 CURLEW DR, AMMON, ID 83406-4718
(208) 516-1204
Mailing address
169 N GATEWAY DR STE 160, PROVIDENCE, UT 84332-9882
(435) 799-3111
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225100000X
Physical Therapist
Primary
PT-8842
ID
225100000X
Physical Therapist
—
UT
Other
Enumeration date
11/29/2016
Last updated
08/02/2023
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