Provider Demographics
NPI:1124399837
Name:ALLMAN, MELISSA BETH (PT, NCS, ATP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:BETH
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:PT, NCS, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4557 S WESTERN ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-8044
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4801 READING ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-6716
Practice Address - Country:US
Practice Address - Phone:214-658-9097
Practice Address - Fax:214-658-9051
Is Sole Proprietor?:No
Enumeration Date:2012-01-26
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXATP50198247200000X
TX1156951225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other