Provider Demographics
NPI:1508382169
Name:KEMBLE, ALLISON ROURKE (DPT)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:ROURKE
Last Name:KEMBLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MICHELLE
Other - Last Name:ROURKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6318 FM 1488 RD STE 150
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-2519
Mailing Address - Country:US
Mailing Address - Phone:936-273-0808
Mailing Address - Fax:
Practice Address - Street 1:6318 FM 1488 RD STE 150
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-2519
Practice Address - Country:US
Practice Address - Phone:936-273-0808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1296076225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist