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

Mr. Jeffrey Donald Mallory, MSPT

Individual provider Physical Therapist · NPI 1720319148

Mr. Jeffrey Donald Mallory, MSPT is a Physical Therapist in Rolla, Missouri. Licensed in Missouri. Registered with an NPI since 2010.

Licensed in
MO
In the registry since
2010

Practice location Address checks out

1200 McCutchen Rd
Rolla, MO 65401-2615
Phone: (573) 364-2311
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 112290 (MO)

Record details

NPI number1720319148
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedJanuary 25, 2010
Last updated in NPPESJanuary 25, 2010

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