Mallory Ferguson
Mallory Ferguson is a Physical Therapist in Private Practice in Mound City, Missouri. Graduated from Creighton University School of Medicine in 2013, 13 years ago. Practices with Orthopedic and Sports Medicine Center LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Iowa, Missouri and Washington.
- Years since qualifying
- 13
- Trained at
- Creighton University School of Medicine
- Licensed in
- IA, MO, WA
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
1401 Savannah StMound City, MO 64470-1539
Phone: (402) 301-9885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 2005005090 (MO) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence PT60868468 (WA) |
| Physical Therapist | Taxonomy 225100000X · Licence 005225 (IA) |
Record details
| NPI number | 1346724176 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 18, 2018 |
| Last updated in NPPES | November 8, 2019 |
| Mailing address | 1401 Savannah St, Mound City, MO 64470-1539 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2013 (13 years in practice) |
| Group practice | Orthopedic And Sports Medicine Center Llc — 20 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |