Provider Demographics
NPI:1578563367
Name:ALANOVA & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ALANOVA & ASSOCIATES, LLC
Other - Org Name:ST. LUKE'S THERAPY SERVICES OF SEVIERVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MA. PAZ CORAZON
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALANA
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:865-453-9022
Mailing Address - Street 1:1014 MIDDLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-2939
Mailing Address - Country:US
Mailing Address - Phone:865-453-9022
Mailing Address - Fax:865-453-9177
Practice Address - Street 1:1014 MIDDLE CREEK RD
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-2939
Practice Address - Country:US
Practice Address - Phone:865-453-9022
Practice Address - Fax:865-453-9177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-22
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3729641Medicare ID - Type Unspecified