Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Fulton

Individual provider Physical Therapy Assistant · NPI 1154715886

Mallory Fulton is a Physical Therapy Assistant in Louisville, Kentucky. Licensed in Illinois and Indiana. Registered with an NPI since 2015.

Licensed in
IL, IN
In the registry since
2015
Specialties on file
2

Practice location Address checks out

2701 Chestnut Station Ct
Louisville, KY 40299-6395
Phone: (800) 335-1060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06004965A (IN)
Physical Therapy Assistant Taxonomy 225200000X · Licence 160.006801 (IL)

Record details

NPI number1154715886
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2015
Last updated in NPPESMarch 19, 2015

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