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

Individual provider Occupational Therapy Assistant · NPI 1205501731

Mallory Mathis is an Occupational Therapy Assistant in Nashville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
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Practice location Address checks out

405 Laurel St
Nashville, GA 31639-3030
Phone: (229) 543-2602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA002738 (GA)

Record details

NPI number1205501731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 16, 2021
Last updated in NPPESAugust 16, 2021
Certification dateAugust 10, 2021
Mailing address606 Rose Cir, Nashville, GA 31639-2721

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