Healthcare Provider Details

I. General information

NPI: 1124086632
Provider Name (Legal Business Name): ALFRED ROBERT DELLINGER KINESIOTHERAPIST
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 TUNNEL ROAD
ASHEVILLE NC
28805
US

IV. Provider business mailing address

87 RAY HILL RD
HORSE SHOE NC
28742-8738
US

V. Phone/Fax

Practice location:
  • Phone: 828-298-7911
  • Fax: 828-299-5836
Mailing address:
  • Phone: 828-299-5836
  • Fax: 828-299-5946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: