Provider Demographics
NPI:1588211759
Name:PHILLIPS, ALLAN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:
Last Name:PHILLIPS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5051 N SABINO CANYON RD UNIT 1247
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-6479
Mailing Address - Country:US
Mailing Address - Phone:520-306-8093
Mailing Address - Fax:
Practice Address - Street 1:5051 N SABINO CANYON RD UNIT 1247
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-6479
Practice Address - Country:US
Practice Address - Phone:520-306-8093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist