Provider Demographics
NPI:1063689750
Name:OKI, ALLISON (MD)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:
Last Name:OKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 N MEDICAL DR
Mailing Address - Street 2:UNIVERISITY OF UTAH, DEPARTMENT OF PM&R
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0001
Mailing Address - Country:US
Mailing Address - Phone:801-585-2589
Mailing Address - Fax:801-587-7287
Practice Address - Street 1:50 N MEDICAL DR
Practice Address - Street 2:UNIVERISITY OF UTAH, DEPARTMENT OF PM&R
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-585-2589
Practice Address - Fax:801-587-7287
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT57638281205208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation