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IndividualActive

Miss Mallory A. Kelly

PT, DPT

Physical Therapist

NPI: 1104340769Twin Lakes, Wisconsin, 53181(262) 877-2124Female

About Miss Mallory A. Kelly

Miss Mallory A. Kelly, PT, DPT, is a female healthcare professional specializing in Physical Therapist, registered under National Provider Identifier (NPI) number 1104340769. Miss Mallory A. Kelly received her medical education at OTHER, graduating in 2017.

Their primary practice is located at 700 N LAKE AVE, Twin Lakes, Wisconsin 53181. Patients can reach the office at (262) 877-2124. Miss Mallory A. Kelly has been NPI-registered since 2017.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1104340769
Entity Type
Individual
First Name
Mallory
Last Name
Kelly
Credential
PT, DPT
Gender
Female
Medical School
OTHER
Graduation Year
2017
Sole Proprietor
No
Status
active

Primary Practice Location

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

Specialty & Taxonomy

Primary Specialty
Physical Therapist
Classification
Physical Therapist
Taxonomy Code
225100000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
PO BOX 735044
City
CHICAGO
State
IL
ZIP
606735044

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Miss Mallory A. Kelly's NPI number?
Miss Mallory A. Kelly's National Provider Identifier (NPI) is 1104340769. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Miss Mallory A. Kelly specialize in?
Miss Mallory A. Kelly specializes in Physical Therapist. They received their medical education at OTHER (class of 2017).
Where is Miss Mallory A. Kelly located?
Miss Mallory A. Kelly practices at 700 N LAKE AVE, Twin Lakes, Wisconsin 53181. You can reach them by phone at (262) 877-2124.
Does Miss Mallory A. Kelly accept Medicare?
Based on available data, Miss Mallory A. Kelly is not currently enrolled in the Medicare program.
Does Miss Mallory A. Kelly offer telehealth or virtual visits?
Miss Mallory A. Kelly does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Miss Mallory A. Kelly is 1104340769.