NPI 1003575382

Lauren Mallory, PTDPT

Practitioner Physical Therapist Grand Rapids, MI

Practice location

Address: 235 Wealthy St SE, Grand Rapids, MI 49503-5247
Phone: (616) 840-8000

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 5501020022 (MI)

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Registry record

NPI: 1003575382
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2021
Record last updated: 14 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.