MEDICARE: ANDREW ALLISON PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	16517	NC

General Provider Information

NPI Number	:	1114477486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW ALLISON PT, DPT

Provider Business Mailing Address
First Line	:	4539 LITTLE SAVANNAH RD APT 1411
Second Line	:
City	:	CULLOWHEE
State	:	NC
Zip	:	28723-5133
Country	:	US
Telephone Number	:	540-309-3329
Fax Number	:

Provider Business Practice Location Address
First Line	:	4539 LITTLE SAVANNAH RD APT 1411
Second Line	:
City	:	CULLOWHEE
State	:	NC
Zip	:	28723-5133
Country	:	US
Telephone Number	:	540-309-3329
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2016
Last Update Date	:	10/10/2016

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