Provider Demographics
NPI:1407890379
Name:RECTOR, ALLISON JANE (PT)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:JANE
Last Name:RECTOR
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 1:9320 GRAND CORDERA PKWY
Mailing Address - Street 2:SUITE 125
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80924-7003
Mailing Address - Country:US
Mailing Address - Phone:719-535-2757
Mailing Address - Fax:719-535-2767
Practice Address - Street 1:9320 GRAND CORDERA PKWY
Practice Address - Street 2:SUITE 125
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80924-7003
Practice Address - Country:US
Practice Address - Phone:719-535-2757
Practice Address - Fax:719-535-2767
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5635225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08401071Medicaid
CO08401071Medicaid