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DR. JACKLYN MICHELLE MALT PT
NPI 1891841631
Physical Therapist - Orthopedic in Creve Coeur, MO

Active since January 26, 2007
12788 OLIVE BLVD, CREVE COEUR, MO 63141(314) 628-1206(314) 628-1208 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jacklyn Michelle Malt Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACKLYN MICHELLE MALT PT (NPI 1891841631) is an individual orthopedic provider in Creve Coeur, Missouri, licensed in Missouri (113828) and active in the NPI registry since January 2007. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891841631
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameDR. JACKLYN MICHELLE MALTCredential: PT
Location Address12788 OLIVE BLVDCreve Coeur, MO 63141-6211
Mailing Address12788 Olive BlvdCreve Coeur, MO 63141-6211 · (314) 628-1206 · Fax (314) 628-1208
Phone(314) 628-1206
Fax(314) 628-1208
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1891841631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in MO · 113828
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
12788 OLIVE BLVD, Creve Coeur, MO 63141
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Secondary Practice Locations 2

Location 13074 Winghaven BlvdO Fallon, MO 63368-3620 · Phone (636) 265-4100
Location 212626 Lamplighter Square Shpg CtrSaint Louis, MO 63128-2746 · Phone (314) 842-4222

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELITE PHYSICAL THERAPY OF CREVE COEUR LLC
Clinic/Center (Rehabilitation)
12788 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 628-1206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacklyn Malt's NPI number?

The NPI number for Jacklyn Malt is 1891841631. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Jacklyn Malt located?

Jacklyn Malt practices at 12788 Olive Blvd, Creve Coeur, MO 63141. The listed phone number is (314) 628-1206.

What is Jacklyn Malt's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Jacklyn Malt was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.