Search › Illinois › 225100000X
Mallory Kirsch, DPT
NPI 1891272597 · on the registry since 2018 · sole proprietor
Practice
- Address
- 11545 E Radisson Rd
Mount Vernon, IL 62864 - Phone
- (618) 316-3727
Additional practice sites
- 1016 Tacoma Ave, Sunnyside, WA
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- WA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois