Individual
NICOLE SARELL MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
875 W POPLAR AVE STE 18, COLLIERVILLE, TN 38017-2568
(901) 850-5742
(901) 850-5701
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 373-7116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TN
Other
Enumeration date
05/16/2012
Last updated
06/12/2020
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