Provider Demographics
NPI:1609493477
Name:DEES, ALAYNA JOY
Entity Type:Individual
Prefix:
First Name:ALAYNA
Middle Name:JOY
Last Name:DEES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7040 GADSDEN HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-2666
Mailing Address - Country:US
Mailing Address - Phone:205-508-3811
Mailing Address - Fax:205-876-8063
Practice Address - Street 1:7040 GADSDEN HWY STE 100
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-2666
Practice Address - Country:US
Practice Address - Phone:205-508-3811
Practice Address - Fax:205-876-8063
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-28
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH9833225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALPTH9833OtherALABAMA LICENSE