IndividualActive
Keita Mallett
NPI 1326500448 · Developmental Therapist · Hillside, IL
Provider details
- NPI number
- 1326500448
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
300 Oak Ridge Ave Apt 2f
Hillside, IL 60162-2037
Phone: (708) 369-0086
Approximate (ZIP-level) locationGet directions
Mailing address
300 Oak Ridge Ave Apt 2f
Hillside, IL 60162-2037
Registry dates
- Enumerated
- 2019-04-05
- Last updated
- 2019-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.