Provider Demographics
NPI:1851466916
Name:ALLERHEILIGEN, DENNIS DEAN (PT)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:DEAN
Last Name:ALLERHEILIGEN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19049 E VALLEY VIEW PKWY
Mailing Address - Street 2:STE H
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6999
Mailing Address - Country:US
Mailing Address - Phone:816-795-8944
Mailing Address - Fax:816-795-8633
Practice Address - Street 1:19049 E VALLEY VIEW PKWY
Practice Address - Street 2:STE H
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6999
Practice Address - Country:US
Practice Address - Phone:816-795-8944
Practice Address - Fax:816-795-8633
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MORO498225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist