Mallory R Mccormick in Butte - Athletic Trainer

Mallory R Mccormick - NPI 1861522120

Mallory R Mccormick is a Athletic Trainer in Butte, Montana. Mallory R Mccormick practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Mallory R Mccormick is 1861522120. The last update date is 2007-07-08.

Mallory R Mccormick's current location address is 400 S Clark St, Butte, Montana. You can contact this provider via phone number 4067232540. The mailing address for Mallory R Mccormick is 400 S Clark St, Butte, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Name Mallory R Mccormick
Address 400 S Clark St, Butte, Montana
Phone Number 4067232540
Fax Number
Sole Proprietor N
Credentials ATC

NPI Number Detail

NPI Number 1861522120
Provider Enumeration Date 2007-03-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 400 S Clark St
City Butte
State Montana (MT)
Post Code 597012328
Phone Number 4067232540
Fax Number

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22 MT ATC

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FAQs about Mallory R Mccormick

What is the unique identifier code issued to Mallory R Mccormick by the Centers for Medicare & Medicaid Services (CMS)?

The Mallory R Mccormick has been assigned the NPI (National Provider Identifier) 1861522120. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Mallory R Mccormick's facilities are situated?

The facilities of Mallory R Mccormick are physically located at the following address: 400 S Clark St, Butte, MT, 597012328.

What is the Mallory R Mccormick's specialty and taxonomy code?

The Mallory R Mccormick's specialty is Athletic Trainer, and the corresponding taxonomy code is 2255A2300X.

On what date did Mallory R Mccormick receive its 1861522120 assignment from the Centers for Medicare & Medicaid Services?

The Mallory R Mccormick was assigned its 1861522120 on 2007-03-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Mallory R Mccormick's details last updated?

The information pertaining to the Mallory R Mccormick, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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