Provider Demographics
NPI:1730726167
Name:MOST, MALORIE A
Entity type:Individual
Prefix:
First Name:MALORIE
Middle Name:A
Last Name:MOST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23602 N ROCKLEDGE
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-3759
Mailing Address - Country:US
Mailing Address - Phone:248-974-1238
Mailing Address - Fax:
Practice Address - Street 1:23602 N ROCKLEDGE
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-3759
Practice Address - Country:US
Practice Address - Phone:248-974-1238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer