Individual
MICHAEL MAIALLEY
Active
Individual
MICHAEL MAIALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MP/RD
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
62365471
CO
224Y00000X
Clinical Exercise Physiologist
—
—
Other
Enumeration date
05/24/2022
Last updated
06/07/2024
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