Healthcare Provider Details

I. General information

NPI: 1447202486
Provider Name (Legal Business Name): STEVE V ALLISON D.P.T
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 01/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 JIMMIE DAVIS HWY SUITE 400
BOSSIER CITY LA
71112-4557
US

IV. Provider business mailing address

1613 JIMMIE DAVIS HWY SUITE 400
BOSSIER CITY LA
71112-4557
US

V. Phone/Fax

Practice location:
  • Phone: 318-658-5800
  • Fax: 318-658-9951
Mailing address:
  • Phone: 318-658-5800
  • Fax: 318-658-9951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License Number01827
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code2251H1300X
TaxonomyHuman Factors Physical Therapist
License Number01827
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number01827
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: