Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Polivka, MA, R-DMT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821514563

Mallory Polivka, MA, R-DMT is a Student in an Organized Health Care Education/Training Program in Duluth, Minnesota. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Duluth, MN

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1821514563
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , R-DMT
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESAugust 20, 2018

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