MEDICARE: ALISON DAVIS 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	5501018542	MI

General Provider Information

NPI Number	:	1992203160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON DAVIS PT, DPT

Provider Business Mailing Address
First Line	:	37473 SPRING LN
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-3715
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2455 UNION LAKE RD
Second Line	:
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48382-3596
Country	:	US
Telephone Number	:	248-353-1234
Fax Number	:

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

Provider Enumeration Date	:	01/23/2018
Last Update Date	:	01/23/2018

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