Individual
MRS. MALLORY MICHELLE GRASSMUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
5440 W 110TH STREET, SUITE 300, OVERLAND PARK, KS 66211
(913) 279-0226
(913) 273-5131
Mailing address
5440 W 110TH STREET, SUITE 300, OVERLAND PARK, KS 66211
(913) 279-0226
(913) 273-5131
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1699
KS
133V00000X
Registered Dietitian
Primary
2011034424
MO
133V00000X
Registered Dietitian
2931
SC
Other
Enumeration date
06/01/2012
Last updated
01/06/2025
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