Mallory Polivka, M.A., R-DMT is a student in an organized health care education training program in Duluth, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Mallory Polivka, M.A., R-DMT NPI is 1821514563. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
101 W 2ND ST
DULUTH, MN
ZIP 55802
Phone: (218) 724-3122
The enumeration date for this NPI number is 8/15/2017 and was last updated on 8/20/2018.