Provider Demographics
NPI:1235899618
Name:SCHWARZ, ALLISON (LMT)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9204 TAYLORSVILLE RD STE 110A
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-1788
Mailing Address - Country:US
Mailing Address - Phone:502-292-7364
Mailing Address - Fax:
Practice Address - Street 1:9204 TAYLORSVILLE RD STE 110A
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-1788
Practice Address - Country:US
Practice Address - Phone:502-292-7364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY174174225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist