Provider Demographics
NPI:1508012410
Name:SAILORS, MALINDA M (PT)
Entity Type:Individual
Prefix:MRS
First Name:MALINDA
Middle Name:M
Last Name:SAILORS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MALINDA
Other - Middle Name:M
Other - Last Name:ABLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:302 ST. CLOUD
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701
Mailing Address - Country:US
Mailing Address - Phone:605-343-4738
Mailing Address - Fax:605-343-8284
Practice Address - Street 1:302 ST. CLOUD
Practice Address - Street 2:GOLDEN LIVING CENTER - BELLA VISTA
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701
Practice Address - Country:US
Practice Address - Phone:605-343-4738
Practice Address - Fax:605-343-8284
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0471225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist