Mallory Mickus
Mallory Mickus is an Athletic Trainer in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2014.
- Licensed in
- IN
- In the registry since
- 2014
Practice location Address checks out
2200 W Sudbury Dr E2Bloomington, IN 47403-3736
Phone: (219) 921-4028
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 36001700A (IN) |
|---|
Record details
| NPI number | 1659785137 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 12, 2014 |
| Last updated in NPPES | June 12, 2014 |
| Mailing address | 2200 W Sudbury Dr, E2, Bloomington, IN 47403-3736 |
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