Provider Demographics
NPI:1730650458
Name:THOMPSON, ALISON SKYE (MS)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:SKYE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24250 N 23RD AVE UNIT 3172
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-1989
Mailing Address - Country:US
Mailing Address - Phone:518-231-1238
Mailing Address - Fax:
Practice Address - Street 1:24250 N 23RD AVE UNIT 3172
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-1989
Practice Address - Country:US
Practice Address - Phone:518-231-1238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZATR-0090112255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer