Provider Demographics
NPI:1417383621
Name:KIGHT, ALLYSON (DPT)
Entity Type:Individual
Prefix:MS
First Name:ALLYSON
Middle Name:
Last Name:KIGHT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:ALLYSON
Other - Middle Name:KIGHT
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:701 E 3RD AVE UNIT 6
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32169-3104
Mailing Address - Country:US
Mailing Address - Phone:386-957-3902
Mailing Address - Fax:386-232-9761
Practice Address - Street 1:701 E 3RD AVE UNIT 6
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32169-3104
Practice Address - Country:US
Practice Address - Phone:386-957-3902
Practice Address - Fax:386-232-9761
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT28483225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIA956YMedicare PIN