Provider Demographics
NPI:1659502540
Name:ALLISON, ASHLEY RAE (DPT, ATC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RAE
Last Name:ALLISON
Suffix:
Gender:F
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 VOLVO PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-1609
Mailing Address - Country:US
Mailing Address - Phone:757-548-1214
Mailing Address - Fax:757-548-1216
Practice Address - Street 1:733 VOLVO PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-1609
Practice Address - Country:US
Practice Address - Phone:757-548-1214
Practice Address - Fax:757-548-1216
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA20352060242251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports