Provider Demographics
NPI:1003248493
Name:JENKINS, ALLISON CHRISTINE (DPT)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:CHRISTINE
Last Name:JENKINS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:25229 S SUN LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:SUN LAKES
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-6453
Mailing Address - Country:US
Mailing Address - Phone:480-883-6737
Mailing Address - Fax:480-895-8143
Practice Address - Street 1:25229 S SUN LAKES BLVD
Practice Address - Street 2:
Practice Address - City:SUN LAKES
Practice Address - State:AZ
Practice Address - Zip Code:85248-6453
Practice Address - Country:US
Practice Address - Phone:480-883-6737
Practice Address - Fax:480-895-8143
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9850225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist