Individual provider · Type 1 NPI

Jenna Mallory, PTA

Physical Therapy Assistant · Maywood, IL

NPI number 1114272424 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Fax (630) 953-6793

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.005491 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1114272424

Jenna Mallory, PTA's National Provider Identifier is 1114272424, issued on Jul 24, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Maywood, IL. The record was last updated on Jul 24, 2012.