Provider Demographics
NPI:1770984940
Name:ZAPPITELLI, MALLORY (ATC)
Entity type:Individual
Prefix:
First Name:MALLORY
Middle Name:
Last Name:ZAPPITELLI
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 GINGERCAKE CIR
Mailing Address - Street 2:APARTMENT 104
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-7416
Mailing Address - Country:US
Mailing Address - Phone:440-668-2438
Mailing Address - Fax:
Practice Address - Street 1:1162 EDEN TERRACE
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730
Practice Address - Country:US
Practice Address - Phone:440-668-2438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14482255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer