NPI 1821303207

Martin Malt, PT

Practitioner Specialist Hazelwood, MO

Practice location

Address: 1 Village Sq Suite a, Hazelwood, MO 63042-1817
Phone: (314) 551-6154
Fax: (314) 551-6105

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 2002027725 (MO)

Other Specialist providers in Missouri →

Registry record

NPI: 1821303207
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2010
Record last updated: 10 Aug 2010

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.