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

Mallory Wirth

Individual provider Physical Therapist · NPI 1730814476

Mallory Wirth is a Physical Therapist in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022

Practice location Address checks out

1625 Radio Dr Ste 200
Woodbury, MN 55125-9407
Phone: (651) 241-3636
Fax: (651) 241-3646
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12441 (MN)

Record details

NPI number1730814476
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022
Mailing address1625 Radio Dr Ste 220, Woodbury, MN 55125-9476

Other providers in Woodbury