Provider Demographics
NPI:1922667492
Name:TREGLOWN, ALYSIA DELANEY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ALYSIA
Middle Name:DELANEY
Last Name:TREGLOWN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ALYSIA
Other - Middle Name:DELANEY
Other - Last Name:GRIFFETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:PO BOX 949
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30162-0949
Mailing Address - Country:US
Mailing Address - Phone:770-749-0250
Mailing Address - Fax:770-749-0086
Practice Address - Street 1:1566 ROME HWY
Practice Address - Street 2:
Practice Address - City:CEDARTOWN
Practice Address - State:GA
Practice Address - Zip Code:30125-4403
Practice Address - Country:US
Practice Address - Phone:770-749-0250
Practice Address - Fax:770-749-0086
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT013970225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPT013970OtherSTATE LICENSE