MEDICARE: MALIA LIM PRITCHETT PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1760313274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALIA LIM PRITCHETT PT, DPT

Provider Business Mailing Address
First Line	:	512 WHEATFIELD CIR
Second Line	:
City	:	WENTZVILLE
State	:	MO
Zip	:	63385-6027
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 WHEATFIELD CIR
Second Line	:
City	:	WENTZVILLE
State	:	MO
Zip	:	63385-6027
Country	:	US
Telephone Number	:	847-867-2237
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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