Individual
BRADY MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
504 S 13TH ST, LIVINGSTON, MT 59047-3727
(406) 222-7231
(406) 222-2435
Mailing address
504 S 13TH ST, LIVINGSTON, MT 59047-3727
(406) 222-3541
(406) 823-6287
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1688 PT
MT
Other
Enumeration date
08/16/2013
Last updated
12/23/2014
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