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NPI Code Detail

MEDICARE: ALLISON ARTIST DPT

MEDICARE:   ALLISON  ARTIST  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
1225100000XPhysical TherapistPTH7902AL
2225100000XPhysical TherapistPT-008059KY

General Provider Information

NPI Number : 1437517240
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON ARTIST DPT
Provider Business Mailing Address
First Line : 9300 STONESTREET RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40272-2863
Country : US
Telephone Number : 502-935-9776
Fax Number : 502-935-9813
Provider Business Practice Location Address
First Line : 9300 STONESTREET RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40272-2863
Country : US
Telephone Number : 502-935-9776
Fax Number : 502-935-9813
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2016
Last Update Date : 10/07/2020

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Directions to “ ALLISON ARTIST DPT” Practice Location

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