Individual
MICHELLE ELAYNE MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
693 DECKER LN, CREVE COEUR, MO 63141-6766
(314) 997-4532
Mailing address
11511 CRAIG CT APT 307, SAINT LOUIS, MO 63146-6204
(502) 544-3295
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019031759
MO
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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