Mallory Loretta Elting, PTA
Individual provider Active NPI Physical Therapy Assistant · Nelson, NE
NPI 1962686246 · NPPES record last updated Dec 22, 2007
Key facts
- NPI
- 1962686246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 816 (NE)
- Practice address
- 3735 Road V
Nelson, NE 68961-8727 - Phone
- (402) 984-9169
- NPI assigned
- Dec 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 816 | NE | MD | Orthopaedic Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 816 | NE | Yes |
Addresses
Primary practice location
3735 Road V
Nelson, NE 68961-8727
Mailing address
3735 Road V
Nelson, NE 68961-8727
Phone (402) 984-9169
Other providers in Nelson, NE
- Destiny Aguirre
- Holly Bower
- Brodstone Memorial Hospital
- Lisa Brown
- City of Nelson
- Kerri Rennick
- Barb Samsula
- The Evangelical Lutheran Good Samaritan Society
- Jennifer Wigget
All providers in Nelson, NE · Physical Therapy Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.