Provider Demographics
NPI:1922744341
Name:BERNATH, ALISON DENISE (LMT)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:DENISE
Last Name:BERNATH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38561 LAWRENCE CT
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-3887
Mailing Address - Country:US
Mailing Address - Phone:734-377-5216
Mailing Address - Fax:
Practice Address - Street 1:38561 LAWRENCE CT
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-3887
Practice Address - Country:US
Practice Address - Phone:734-377-5216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7501014616225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist