Abigail Martha Harris Mallory, RD, MS
Abigail Martha Harris Mallory, RD, MS is a Registered Dietitian OR Nutrition Professional in Hailey, Idaho. Qualified in 2020, 6 years ago. Practices with St Lukes Clinic - Wood River LLC, a 64-clinician group and accepts Medicare assignment.
- Years since qualifying
- 6
- In the registry since
- 2021
What do these letters mean?
Practice location Address checks out
211 N 6th AveHailey, ID 83333-8867
Phone: (802) 318-7232
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X |
|---|
Record details
| NPI number | 1114519519 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RD , MS |
| Sole proprietor | Yes |
| NPI enumerated | February 7, 2021 |
| Last updated in NPPES | February 7, 2021 |
| Certification date | February 7, 2021 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | St Lukes Clinic - Wood River Llc — 64 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |