Provider Demographics
NPI:1578082871
Name:ALISON THOMPSON PROFESSIONAL LIMITED-LIABILITY COMPANY
Entity Type:Organization
Organization Name:ALISON THOMPSON PROFESSIONAL LIMITED-LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-416-9343
Mailing Address - Street 1:2305 W HORIZON RIDGE PKWY APT 1922
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-5792
Mailing Address - Country:US
Mailing Address - Phone:414-416-9343
Mailing Address - Fax:
Practice Address - Street 1:2305 W HORIZON RIDGE PKWY APT 1922
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5792
Practice Address - Country:US
Practice Address - Phone:414-416-9343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14-0473225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty