Provider Demographics
NPI:1780605261
Name:MALAWEY, MICHAEL JOHN (PT , DPT)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOHN
Last Name:MALAWEY
Suffix:
Gender:M
Credentials:PT , DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2308 BROOKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-3720
Mailing Address - Country:US
Mailing Address - Phone:615-283-8200
Mailing Address - Fax:615-283-8200
Practice Address - Street 1:2308 BROOKFIELD DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-3720
Practice Address - Country:US
Practice Address - Phone:615-283-8200
Practice Address - Fax:615-283-8200
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT214202251X0800X
TNPT0000010226225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic