MEDICARE: ALISON MCCURLEY MPT

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	2011029429	MO
2	225100000X	Physical Therapist	070.019827	IL

General Provider Information

NPI Number	:	1992102784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON MCCURLEY MPT

Provider Business Mailing Address
First Line	:	3850 WYOMING ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-4841
Country	:	US
Telephone Number	:	314-780-6576
Fax Number	:

Provider Business Practice Location Address
First Line	:	3850 WYOMING ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-4841
Country	:	US
Telephone Number	:	314-780-6576
Fax Number	:

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

Provider Enumeration Date	:	11/23/2014
Last Update Date	:	11/23/2014

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Directions to “ ALISON MCCURLEY MPT” Practice Location

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