Individual
MALLORI LOUGHRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
5065 MOYE RD # 3465, FORT BENNING, GA 31905-5915
(706) 887-1182
Mailing address
6233 CHARING DR, COLUMBUS, GA 31909-3733
(706) 887-1182
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002401
GA
Other
Enumeration date
02/22/2016
Last updated
10/27/2025
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