Provider Demographics
NPI:1710407994
Name:DIBBLE, ALISON CARR (DPT)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:CARR
Last Name:DIBBLE
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 1:8402 CENTENNIAL PKWY STE 240
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-4793
Mailing Address - Country:US
Mailing Address - Phone:702-294-7499
Mailing Address - Fax:702-294-7494
Practice Address - Street 1:8402 CENTENNIAL PKWY STE 240
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4793
Practice Address - Country:US
Practice Address - Phone:702-294-7499
Practice Address - Fax:702-294-7494
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT32655225100000X
NV4154225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist