Provider Demographics
NPI:1144572041
Name:NORMAN, ALLISON K (MOTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:K
Last Name:NORMAN
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:K
Other - Last Name:RUTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOTR/L
Mailing Address - Street 1:631 WILLOW BEND DR
Mailing Address - Street 2:
Mailing Address - City:CASSELTON
Mailing Address - State:ND
Mailing Address - Zip Code:58012
Mailing Address - Country:US
Mailing Address - Phone:701-367-2602
Mailing Address - Fax:
Practice Address - Street 1:631 WILLOW BEND DR
Practice Address - Street 2:
Practice Address - City:CASSELTON
Practice Address - State:ND
Practice Address - Zip Code:58012
Practice Address - Country:US
Practice Address - Phone:701-367-2602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-03
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1178225X00000X
MN103931225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist