Provider Demographics
NPI:1003862541
Name:KEMPER, ALLISON MICHELE (DPT)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:MICHELE
Last Name:KEMPER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 LENOX RD NE BLDG 1-02
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-2860
Mailing Address - Country:US
Mailing Address - Phone:404-364-9551
Mailing Address - Fax:
Practice Address - Street 1:2770 LENOX RD NE BLDG 1-02
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-2860
Practice Address - Country:US
Practice Address - Phone:404-364-9551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009515225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3156797OtherBCBST - GROUP NUMBER
TN0446652Medicaid
TN3156797OtherBCBST - GROUP NUMBER