Michelle Lynn Malloy, MA, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT5823 Issued in TX

Practice address

3100 Cullen Blvd Ste 1100
Houston, TX 77204-6099

Phone

(609) 752-2950

NPI assigned

Jan 30, 2017

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1386181253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 CHARLESTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211213",
            "telephone_number": "609-752-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CULLEN BLVD STE 1100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772046099",
            "telephone_number": "609-752-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "MA, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malley, LLC
• Nancy Elizabeth Malley, LCSW
• Chris Mallia
• Mallory W. Lelak, DMD PLLC
• George Mallory, MD
• Kiran Mallula, M.D.
• Malm Adults Daycare & Socialize
• Malm Chiropractor Clinic Services
• Ifeoluwa Regina Malmberg, MD
• Frederick Richard Maloch, D.D.S.

• Athletic Trainer in Houston, TX
• Providers in Houston, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.