Provider Demographics
NPI:1619459443
Name:JONES, ALANNA (DPT)
Entity Type:Individual
Prefix:
First Name:ALANNA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1981 DOUBLE EAGLE DR STE A
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-2132
Mailing Address - Country:US
Mailing Address - Phone:307-752-8354
Mailing Address - Fax:307-466-1237
Practice Address - Street 1:1981 DOUBLE EAGLE DR STE A
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-2132
Practice Address - Country:US
Practice Address - Phone:307-752-8354
Practice Address - Fax:307-466-1237
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-29
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPT-1859225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist