Healthcare Provider Details

I. General information

NPI: 1043132277
Provider Name (Legal Business Name): ALIVIA DALRYMPLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1433 N 6TH 1/2 ST
TERRE HAUTE IN
47807-1037
US

IV. Provider business mailing address

4323 W 300 N
DECATUR IN
46733-8566
US

V. Phone/Fax

Practice location:
  • Phone: 812-237-7609
  • Fax:
Mailing address:
  • Phone: 260-223-6549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: