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General NPI Number Information
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NPI Number | 1972481596
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Entity Type | Individual
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Provider Name | ALYSSA PEACOCK ALKIRE DPT
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Gender | Female
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 2800 BRECKENRIDGE LN STE 140
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City | MEADOWVIEW ESTATES
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State | KY
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Zip | 40220-1600
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Country | US
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Telephone | 502-928-0040
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Fax |
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Provider Business Mailing Address
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Address Line | 4314 CHURCHILL RD
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City | LOUISVILLE
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State | KY
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Zip | 40207-4047
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 009436
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License Number State | KY
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