Provider Demographics
NPI:1447958913
Name:BOYD, MALLORY (MS ACSM CEP)
Entity type:Individual
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First Name:MALLORY
Middle Name:
Last Name:BOYD
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Gender:F
Credentials:MS ACSM CEP
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Mailing Address - Street 1:14770 ORCHARD PKWY UNIT 268
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80023-9163
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14770 ORCHARD PKWY UNIT 268
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80023-9163
Practice Address - Country:US
Practice Address - Phone:443-910-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist