Duane C Malo, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

111 17TH Ave E Ste 101
Alexandria, MN 56308-5274

Phone

(320) 762-1144

NPI assigned

Apr 21, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1013604792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 10TH AVE E APT 217",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082719",
            "telephone_number": "773-251-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 17TH AVE E STE 101",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085274",
            "telephone_number": "320-762-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALO",
        "first_name": "DUANE",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney A Mach, PA
• Jacob Timothy Mach, PA
• Isabella Mercedes Macho
• Terry Sylvester Mader, LADC
• Ferdinand R Makalinao, MD
• James A Mann, DPM
• Judith A Manusos, LPC
• Kenneth J. Martin, M.D.
• Margaret R Martin, BS, COTA/L
• April Dawn Martinez

• Athletic Trainer in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.