Individual provider · Type 1 NPI

Mallory Lynn Reiber, ATC, PTA

Physical Therapy Assistant · Kewanee, IL

NPI number 1669910097 Active

Practice location

1051 W South St
Kewanee, IL 61443-8354

Call (217) 871-9181 Map

Mailing address

822 Pulaski St
Lincoln, IL 62656-2902

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X096004692 (IL)
Physical Therapy Assistant Primary 225200000X160009119 (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 1669910097

Mallory Lynn Reiber, ATC, PTA's National Provider Identifier is 1669910097, issued on Feb 6, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kewanee, IL. The record was last updated on Aug 12, 2025.