MEDICARE: DR. STEVE V ALLISON D.P.T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	01827	LA
2	2251E1200X	Ergonomics Physical Therapist	01827	LA
3	2251H1300X	Human Factors Physical Therapist	01827	LA

General Provider Information

NPI Number	:	1447202486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVE V ALLISON D.P.T

Provider Business Mailing Address
First Line	:	1613 JIMMIE DAVIS HWY
Second Line	:	SUITE 400
City	:	BOSSIER CITY
State	:	LA
Zip	:	71112-4557
Country	:	US
Telephone Number	:	318-658-5800
Fax Number	:	318-658-9951

Provider Business Practice Location Address
First Line	:	1613 JIMMIE DAVIS HWY
Second Line	:	SUITE 400
City	:	BOSSIER CITY
State	:	LA
Zip	:	71112-4557
Country	:	US
Telephone Number	:	318-658-5800
Fax Number	:	318-658-9951

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	01/28/2014

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