Provider Demographics
NPI:1629617170
Name:BRYANT, ALLISE (DPT)
Entity Type:Individual
Prefix:
First Name:ALLISE
Middle Name:
Last Name:BRYANT
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 1:502 LANCASTER AVE APT B
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-4014
Mailing Address - Country:US
Mailing Address - Phone:248-561-4736
Mailing Address - Fax:
Practice Address - Street 1:2892 S CHURCH ST STE A
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37127-6305
Practice Address - Country:US
Practice Address - Phone:615-447-9520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-02
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist