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NPI Code Detail

MEDICARE: MRS. MALINDA MAE ELLIOTT

MEDICARE:  MRS. MALINDA MAE ELLIOTT
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
1225100000XPhysical Therapist03417IA

General Provider Information

NPI Number : 1851415459
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MALINDA MAE ELLIOTT
Provider Business Mailing Address
First Line : 701 HICKORY CT
Second Line :
City : DALLAS CENTER
State : IA
Zip : 50063-2021
Country : US
Telephone Number : 515-992-3907
Fax Number :
Provider Business Practice Location Address
First Line : 701 HICKORY CT
Second Line :
City : DALLAS CENTER
State : IA
Zip : 50063-2021
Country : US
Telephone Number : 515-992-3907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. MALINDA MAE ELLIOTT ” Practice Location

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