Provider Demographics
NPI:1518314475
Name:NAGELY, ALLISON CLAIRE (DPT)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:CLAIRE
Last Name:NAGELY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 E CRAWFORD ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-5113
Mailing Address - Country:US
Mailing Address - Phone:785-825-2323
Mailing Address - Fax:785-825-2325
Practice Address - Street 1:631 E CRAWFORD ST
Practice Address - Street 2:SUITE 220
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-5113
Practice Address - Country:US
Practice Address - Phone:785-825-2323
Practice Address - Fax:785-825-2325
Is Sole Proprietor?:No
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist