Provider Demographics
NPI:1508073081
Name:MCNEELY, ALLISON LA VONNE (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:LA VONNE
Last Name:MCNEELY
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 COUNTRY VIEW LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-5606
Mailing Address - Country:US
Mailing Address - Phone:972-686-4065
Mailing Address - Fax:
Practice Address - Street 1:118 COUNTRY VIEW LN
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-5606
Practice Address - Country:US
Practice Address - Phone:972-686-4065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT25842255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer