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

Mrs. Mallory J Willis, DPT

Individual provider Physical Therapist · NPI 1457974008

Mrs. Mallory J Willis, DPT is a Physical Therapist in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2020.

Licensed in
CO
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

600 S 21st St Unit 130
Colorado Springs, CO 80904-3763
Phone: (719) 634-1110
Fax: (719) 634-1112
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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 PTL0016942 (CO)

Record details

NPI number1457974008
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 18, 2020
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 2020

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