Provider Demographics
NPI:1447202486
Name:ALLISON, STEVE V (DPT)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:V
Last Name:ALLISON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 JIMMIE DAVIS HWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71112-4557
Mailing Address - Country:US
Mailing Address - Phone:318-658-5800
Mailing Address - Fax:318-658-9951
Practice Address - Street 1:1613 JIMMIE DAVIS HWY
Practice Address - Street 2:SUITE 400
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71112-4557
Practice Address - Country:US
Practice Address - Phone:318-658-5800
Practice Address - Fax:318-658-9951
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA018272251X0800X, 2251E1200X, 2251H1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics
No2251H1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHuman Factors
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4B526C749Medicare PIN