NPI Profile for MICHAEL MAIALLEY in NORTHGLENN, CO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sports Medicine |
2083S0010X | 84 | Physician/Preventive Medicine | |
Clinical Exercise Physiologist |
224Y00000X | |||
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional | |
Exercise & Sports |
103TE1100X | 62 | Psychologist, Clinical | |
Nutrition, Education |
133NN1002X | |||
Nutrition, Metabolic |
133VN1006X | 71 | Registered Dietitian or Nutrition Professional | |
Nutrition, Sports Dietetics |
133VN1501X | 71 | Registered Dietitian or Nutrition Professional | |
Nutritionist |
133N00000X |
| NPI # | 1912645474 |
|
| Status | Active | |
| Credentials | MP/RD | |
| Entity | Individual | |
| Enumeration date | 05/24/2022 | |
| Last updated | 06/07/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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MICHAEL MAIALLEY
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