IndividualActive
Kaitlyn Maloney, MS. ED., ATC, LAT
NPI 1750947586 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · De Soto, IL
Provider details
- NPI number
- 1750947586
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MS. ED., ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2000017799 (IL)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense 2000017799 (IL)
Allopathic & Osteopathic Physicians
Practice location
125 Jan Ln Apt 2
De Soto, IL 62924-0045
Phone: (302) 353-6468
Approximate (ZIP-level) locationGet directions
Mailing address
125 Jan Ln Apt 2
De Soto, IL 62924-0045
Registry dates
- Enumerated
- 2019-05-16
- Last updated
- 2019-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.