Mallory Lynn Reiber, ATC, PTA
Physical Therapy Assistant in Kewanee, IL. Individual provider (NPI-1).
NPI number1669910097
StatusActive
Last updated in NPPESAug 12, 2025
Details
- NPI
- 1669910097
- Entity type
- Individual (NPI-1)
- Name
- Mallory Lynn Reiber
- Credential
- ATC, PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2017
- Certification date
- Aug 12, 2025
- Last updated
- Aug 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 160009119 | IL | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 096004692 | IL |
Practice location
1051 W South StKewanee, IL 61443-8354
Phone 217-871-9181
Mailing address
822 Pulaski StLincoln, IL 62656-2902
Phone 217-871-9181
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Other Physical Therapy Assistant providers in Kewanee, IL
- Kimberly Kay Becker, PTANPI 1467150367
- Matt Brokaw, PTANPI 1871855155
- Monica Ensley, PTANPI 1033471313
- Ashley Nicole PaxtonNPI 1669051025
All 5 Physical Therapy Assistant providers in Kewanee · All 205 providers in Kewanee
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