Healthcare Provider Details

I. General information

NPI: 1639110646
Provider Name (Legal Business Name): ALISON HILL LEWIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON CAROL HILL PT

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 02/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 HOWARD DR
SHELBYVILLE KY
40065
US

IV. Provider business mailing address

90 HOWARD DR
SHELBYVILLE KY
40065-8138
US

V. Phone/Fax

Practice location:
  • Phone: 502-633-1007
  • Fax: 502-437-0624
Mailing address:
  • Phone: 502-633-1007
  • Fax: 502-437-0624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number004515
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: