Rustico Mallillin in Saint Peters - Physical Therapist
Rustico Mallillin - NPI 1487758769
Rustico Mallillin is a Physical Therapist in Saint Peters, Missouri. Rustico Mallillin practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Rustico Mallillin is 1487758769. The last update date is 2007-07-08.
Rustico Mallillin's current location address is 25 Gloria Ln, Saint Peters, Missouri. You can contact this provider via phone number 3145509996. The mailing address for Rustico Mallillin is 25 Gloria Ln, Saint Peters, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rustico Mallillin |
|---|---|
| Address | 25 Gloria Ln, Saint Peters, Missouri |
| Phone Number | 3145509996 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1487758769 |
|---|---|
| Provider Enumeration Date | 2006-09-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 25 Gloria Ln |
|---|---|
| City | Saint Peters |
| State | Missouri (MO) |
| Post Code | 633762157 |
| Phone Number | 3145509996 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2002006272 | MO | LICENSE # |
Post Comment/ Review Below
What is the unique identifier code issued to Rustico Mallillin by the Centers for Medicare & Medicaid Services?
The Rustico Mallillin has been assigned the NPI (National Provider Identifier) 1487758769. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Rustico Mallillin is geographically located?
The Rustico Mallillin is physically situated at the following location: 25 Gloria Ln, Saint Peters, MO, 633762157.
What is Rustico Mallillin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Rustico Mallillin is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Rustico Mallillin receive the assignment of its 1487758769 from the Centers for Medicare & Medicaid Services?
The Rustico Mallillin was issued its 1487758769 by the Centers for Medicare & Medicaid Services on 2006-09-08.
When was the information pertaining to Rustico Mallillin most recently updated or revised?
The details related to Rustico Mallillin, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.