Provider Demographics
NPI:1174828164
Name:GEYMER, ALISON (PT)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:GEYMER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5728 MOON FLOWER CT
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-5189
Mailing Address - Country:US
Mailing Address - Phone:817-201-9656
Mailing Address - Fax:817-628-1674
Practice Address - Street 1:5728 MOON FLOWER CT
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-5189
Practice Address - Country:US
Practice Address - Phone:817-201-9656
Practice Address - Fax:817-628-1674
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-21
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist