NPI 1104340769

Mallory A. Kelly, PTDPT

Practitioner Physical Therapist Twin Lakes, WI

Practice location

Address: 700 N Lake Ave, Twin Lakes, WI 53181-9436
Phone: (262) 877-2124
Mailing address: PO Box 735044, Chicago, IL 60673-5044

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Registry record

NPI: 1104340769
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2017
Record last updated: 3 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.