Provider Demographics
NPI:1659084333
Name:CARRIGAN, ALLISON BROOKE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:BROOKE
Last Name:CARRIGAN
Suffix:
Gender:F
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 1:1305 NORTH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75961-4085
Mailing Address - Country:US
Mailing Address - Phone:936-560-1618
Mailing Address - Fax:
Practice Address - Street 1:1305 NORTH ST STE 102
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-4085
Practice Address - Country:US
Practice Address - Phone:936-560-1618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1338232225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist