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

Mallory Mae Leanna

Individual provider Physical Therapy Assistant · NPI 1336510403

Mallory Mae Leanna is a Physical Therapy Assistant in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015

Practice location Address checks out

325 E Florida Ave
Appleton, WI 54911-1325
Phone: (920) 731-7310
Fax: (920) 733-3050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2376-19 (WI)

Record details

NPI number1336510403
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 14, 2015
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024
Mailing address325 E Florida Ave, Appleton, WI 54911-1325

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