Dale Rodney Malstrom, PT is a
Physical Therapist based in Ranchester, Wyoming. Dale Rodney Malstrom is licensed to practice in Utah (license number 350597-2401) and his current practice location is
629 Dayton Street, Ranchester, Wyoming. He can be reached at his office (for appointments etc.) via phone at
(307) 655-9151.
NPI number for Dale Rodney Malstrom is 1396960795 and his current mailing address is Po Box 873, Ranchester, Wyoming. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396960795.
Healthcare Provider's Profile
| Full Name | Dale Rodney Malstrom |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 629 Dayton Street, Ranchester, Wyoming |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396960795
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 05/29/2008
Medical Identifiers
Medical identifiers for Dale Rodney Malstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396960795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT-0253 (Wyoming) | Secondary |
| 225100000X | Physical Therapist | 350597-2401 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dale Rodney Malstrom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dale Rodney Malstrom, PT
Po Box 873,
Ranchester, WY 82839-0873
Ph: (307) 655-9151 | Dale Rodney Malstrom, PT
629 Dayton Street,
Ranchester, WY 82839-0873
Ph: (307) 655-9151 |
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