RUSTICO MALLILLIN – Physical Therapist, NPI 1487758769

RUSTICO MALLILLIN is a healthcare provider. based in Saint peters, Missouri. specializing in Physical Therapist. The NPI Number for RUSTICO MALLILLIN is 1487758769

Main info

Male
Name
RUSTICO MALLILLIN
NPI
1487758769
Phone
(314) 550-9996
Address
25 GLORIA LN
Enumeration Date
8 September 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for RUSTICO MALLILLIN

  • 25, Gloria Lane, Brookmount Estates, Saint Peters, Saint Charles County, Missouri, 63376, United States

    SAINT PETERS, MO 633762157

    Phone: (314) 550-9996

    Type: Mailing

  • 3446, McKelvey Road, Bridgeton, Saint Louis County, Missouri, 63044, United States

    BRIDGETON, MO 630442525

    Phone: (314) 298-0353

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63376)

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Frequently asked questions

Where can patients find RUSTICO MALLILLIN's NPI?
You can confirm RUSTICO MALLILLIN with NPI 1487758769; it appears in the national provider directory.
Is RUSTICO MALLILLIN active in the national directory?
RUSTICO MALLILLIN's public NPI profile is in an active state.
What field does RUSTICO MALLILLIN work in?
You can think of RUSTICO MALLILLIN as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Does RUSTICO MALLILLIN practice in Missouri?
You will see Saint Peters, Missouri on file for RUSTICO MALLILLIN alongside any extra practice locations.
What if Saint Peters, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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