Provider Demographics
NPI:1851155055
Name:PARKER, ALYSEN (DPT)
Entity Type:Individual
Prefix:
First Name:ALYSEN
Middle Name:
Last Name:PARKER
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 1:501 NW VESPER ST STE A
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-2745
Mailing Address - Country:US
Mailing Address - Phone:816-427-5300
Mailing Address - Fax:816-927-6342
Practice Address - Street 1:501 NW VESPER ST STE A
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-2745
Practice Address - Country:US
Practice Address - Phone:816-427-5300
Practice Address - Fax:816-927-6342
Is Sole Proprietor?:No
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist