Mallory Brooke Shreves, PTA

NPI #1649912171 in Benton, Illinois

Provider Information

NPI Number: 1649912171
Entity Type: Individual
Name: Mallory Brooke Shreves, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 13, 2022
Last Updated: Apr 13, 2022

Practice Location

Address: 405 CLAYTON ST
City: Benton
State: Illinois
ZIP Code: 62812-1605
Phone: (618) 927-4070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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