Provider Demographics
NPI:1508314022
Name:ALLISON, MICHAEL KALE (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:KALE
Last Name:ALLISON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:762 SPURLOCK ST
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-9260
Mailing Address - Country:US
Mailing Address - Phone:806-778-4768
Mailing Address - Fax:
Practice Address - Street 1:4851 LEGACY DR STE 307
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0853
Practice Address - Country:US
Practice Address - Phone:972-377-3909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13301111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor