=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235899618
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALLISON SCHWARZ LMT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/27/2021
-----------------------------------------------------
Last Update Date | 12/27/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9204 TAYLORSVILLE RD STE 110A
-----------------------------------------------------
City | LOUISVILLE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40299-1788
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 502-292-7364
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9204 TAYLORSVILLE RD STE 110A
-----------------------------------------------------
City | LOUISVILLE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40299-1788
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 502-292-7364
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 174174
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------