Provider Demographics
NPI:1508373887
Name:KOBAYASHI, ALISON LINDSAY (DPT, PT, ATC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:LINDSAY
Last Name:KOBAYASHI
Suffix:
Gender:F
Credentials:DPT, PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:707-521-8962
Mailing Address - Fax:707-521-8963
Practice Address - Street 1:3883 AIRWAY DR STE 135
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-1678
Practice Address - Country:US
Practice Address - Phone:707-521-8962
Practice Address - Fax:707-521-8963
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT294188OtherSTATE MEDICAL LIC