MISS Mallory A. Kelly, PT, DPT

NPI #1104340769 in Twin Lakes, Wisconsin

Provider Information

NPI Number: 1104340769
Entity Type: Individual
Name: MISS Mallory A. Kelly, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jul 26, 2017
Last Updated: Oct 3, 2025

Practice Location

Address: 700 N LAKE AVE
City: Twin Lakes
State: Wisconsin
ZIP Code: 53181-9436
Phone: (262) 877-2124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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