Individual provider · Type 1 NPI

Mallory Brooke Shreves, PTA

Physical Therapy Assistant · Benton, IL

NPI number 1649912171 Active

Practice location

405 Clayton St
Benton, IL 62812-1605

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160008886 (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 1649912171

Mallory Brooke Shreves, PTA's National Provider Identifier is 1649912171, issued on Apr 13, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Benton, IL. The record was last updated on Apr 13, 2022.