Provider Demographics
NPI:1558334268
Name:JUDY, ALLISON LEE (ATC)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:LEE
Last Name:JUDY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5429 VILLAGE WALK CIR
Mailing Address - Street 2:APT. B
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47803-4257
Mailing Address - Country:US
Mailing Address - Phone:937-408-4946
Mailing Address - Fax:
Practice Address - Street 1:5429 VILLAGE WALK CIR
Practice Address - Street 2:APT. B
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47803-4257
Practice Address - Country:US
Practice Address - Phone:937-408-4946
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program