Provider Demographics
NPI:1801231972
Name:NESS, ALICE ANNE (PT)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:ANNE
Last Name:NESS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 E MOREHEAD ST
Mailing Address - Street 2:SUITE NUMBER 200
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-2301
Mailing Address - Country:US
Mailing Address - Phone:800-299-8132
Mailing Address - Fax:800-506-5309
Practice Address - Street 1:309 E MOREHEAD ST
Practice Address - Street 2:SUITE NUMBER 200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-2301
Practice Address - Country:US
Practice Address - Phone:800-299-8132
Practice Address - Fax:800-506-5309
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-00638225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist