Healthcare Provider Details

I. General information

NPI: 1154810067
Provider Name (Legal Business Name): ALLIE M HUFFORD DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2018
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

544 CENTRE VIEW BLVD
CRESTVIEW HILLS KY
41017-3400
US

IV. Provider business mailing address

PO BOX 643398
CINCINNATI OH
45264-3398
US

V. Phone/Fax

Practice location:
  • Phone: 513-221-1100
  • Fax: 513-569-5225
Mailing address:
  • Phone: 513-221-1100
  • Fax: 513-569-5297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.009041
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: