Provider Demographics
NPI:1437927928
Name:PARFREY, ALYSSA LOUISE
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:LOUISE
Last Name:PARFREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 STATE HIGHWAY 121 APT 1021
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-4292
Mailing Address - Country:US
Mailing Address - Phone:214-701-2040
Mailing Address - Fax:
Practice Address - Street 1:3501 JUNIUS ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2021
Practice Address - Country:US
Practice Address - Phone:214-820-2683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1382477225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty