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

Mallory Brooke Shreves, PTA

Individual provider Physical Therapy Assistant · NPI 1649912171

Mallory Brooke Shreves, PTA is a Physical Therapy Assistant in Benton, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

405 Clayton St
Benton, IL 62812-1605
Phone: (618) 927-4070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160008886 (IL)

Record details

NPI number1649912171
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022

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