Healthcare Provider Details

I. General information

NPI: 1568252260
Provider Name (Legal Business Name): MALLORY HYLTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 27TH ST W
BILLINGS MT
59102-8601
US

IV. Provider business mailing address

50 27TH ST W
BILLINGS MT
59102-8601
US

V. Phone/Fax

Practice location:
  • Phone: 406-651-9099
  • Fax: 406-651-4332
Mailing address:
  • Phone: 406-651-9099
  • Fax: 406-651-4332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: