Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallori Jo Wilson

Individual provider Physical Therapist · NPI 1740455732

Mallori Jo Wilson is a Physical Therapist in Herrin, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
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Practice location Address checks out

14341 Allen Rd
Herrin, IL 62948-6446
Phone: (618) 559-6377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.016298 (IL)

Record details

NPI number1740455732
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 29, 2008
Last updated in NPPESJanuary 25, 2011

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