IndividualActive
Michael Maialley, MP/RD
NPI 1912645474 · Sports Medicine (Preventive Medicine) Physician · Northglenn, CO
Provider details
- NPI number
- 1912645474
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MP/RD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Exercise & Sports Psychologist103TE1100X
Behavioral Health & Social Service Providers
- Nutritionist133N00000X
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Practice location
11990 Grant St Ste 550
Northglenn, CO 80233-1101
Phone: (720) 799-5799
Fax: (720) 293-9945
Approximate (ZIP-level) locationGet directions
Mailing address
11990 Grant St Ste 550
Northglenn, CO 80233-1101
Registry dates
- Enumerated
- 2022-05-24
- Last updated
- 2024-06-07
- Certified
- 2024-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.