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NPI Code Detail

MEDICARE: DANIELLE RENEE ALLISON

MEDICARE: DANIELLE RENEE ALLISON
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
12255A2300XAthletic Trainer2019027180MO
2390200000XStudent in an Organized Health Care Education/Training ProgramMO
3225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1740744515
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE RENEE ALLISON
Provider Business Mailing Address
First Line : 1014 PEGGY DR.
Second Line :
City : GREENWOOD
State : MO
Zip : 64034
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7235 W 162ND TER
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66085-8238
Country : US
Telephone Number : 913-257-5808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2019
Last Update Date : 09/08/2022

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Directions to “ DANIELLE RENEE ALLISON ” Practice Location

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