Individual
MICHAEL G MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7550 W VILLAGE CIR, STE 1, WICHITA, KS 67205-9363
(316) 838-2020
(316) 838-7574
Mailing address
7550 W VILLAGE CIR, STE 1, WICHITA, KS 67205-9363
(316) 838-2020
(316) 838-7574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1102987
KS
Other
Enumeration date
07/21/2006
Last updated
02/20/2008
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