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Martin Malt, PT
Specialist in Hazelwood, Missouri
NPI 1821303207

Martin Malt is a Specialist based in Hazelwood, MO. Martin Malt practices in Hazelwood, MO and has the professional credentials of PT. The NPI Number for Martin Malt is 1821303207 and holds a License No. 2002027725 (Missouri).

The current practice location address for Martin Malt is 1 Village Sq, Hazelwood, MO and can be reached out via phone at 314-551-6154 and via fax at 314-551-6105.

Location: 1 Village Sq, Hazelwood, MO, 63042-1817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821303207
Provider Name
Martin Malt
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1 Village Sq, Hazelwood, MO, 63042-1817
Phone Number
314-551-6154
Fax Number
314-551-6105
Provider Enumeration Date
08/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Village Sq
City
Hazelwood
State
Missouri
Zip
63042-1817
Phone Number
314-551-6154
Fax Number
314-551-6105
person
Provider Business Mailing Address Details
Address
1 Village Sq
City
Hazelwood
State
Missouri
Zip
63042-1817
Phone Number
314-551-6154
Fax Number
314-551-6105
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2002027725 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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