Provider Demographics
NPI:1376267260
Name:BLAIR, ALLISON KAYE (OTD, OTR)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:KAYE
Last Name:BLAIR
Suffix:
Gender:F
Credentials:OTD, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 STONEGATE N
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-3400
Mailing Address - Country:US
Mailing Address - Phone:210-461-0983
Mailing Address - Fax:
Practice Address - Street 1:6035 ECKHERT RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3164
Practice Address - Country:US
Practice Address - Phone:210-642-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123606225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist