Healthcare Provider Details

I. General information

NPI: 1295491793
Provider Name (Legal Business Name): ALLISON LEGERE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5454 LENA RD UNIT 106
BRADENTON FL
34211-9499
US

IV. Provider business mailing address

5454 LENA RD UNIT 106
BRADENTON FL
34211-9499
US

V. Phone/Fax

Practice location:
  • Phone: 941-225-8033
  • Fax:
Mailing address:
  • Phone: 941-225-8033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCR2780
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH13613
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: