Provider Demographics
NPI:1598369845
Name:DUNLEVY, ALESHA (LMT, CLC)
Entity Type:Individual
Prefix:
First Name:ALESHA
Middle Name:
Last Name:DUNLEVY
Suffix:
Gender:F
Credentials:LMT, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:FOLLANSBEE
Mailing Address - State:WV
Mailing Address - Zip Code:26037-1814
Mailing Address - Country:US
Mailing Address - Phone:304-476-2393
Mailing Address - Fax:
Practice Address - Street 1:216 GEORGE ST
Practice Address - Street 2:
Practice Address - City:FOLLANSBEE
Practice Address - State:WV
Practice Address - Zip Code:26037-1814
Practice Address - Country:US
Practice Address - Phone:304-476-2393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV225700000X
WV3696225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty