LUKE T MALLORY

RATHDRUM, ID
NPI1417712589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: ID  PT-8974)
Enumeration Date2024-02-19
Last Update Date2024-02-27
Business Address
LUKE T MALLORY DPT
16658 N HIGHWAY 41
RATHDRUM, ID 83858-6890
Phone number: 208-687-9195
Mailing Address
LUKE T MALLORY DPT
16658 N HIGHWAY 41
RATHDRUM, ID 83858-6890
Phone number: 208-687-9195