Provider Demographics
NPI:1942430962
Name:ULINO, ALISON J (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:J
Last Name:ULINO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:U
Other - Last Name:MASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:PO BOX 916
Mailing Address - Street 2:CLINTON PHYSICAL THERAPY CENTER
Mailing Address - City:CLINTON
Mailing Address - State:TN
Mailing Address - Zip Code:37717-0916
Mailing Address - Country:US
Mailing Address - Phone:865-457-1649
Mailing Address - Fax:865-463-7825
Practice Address - Street 1:1921 N CHARLES G SEIVERS BLVD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716
Practice Address - Country:US
Practice Address - Phone:865-457-1649
Practice Address - Fax:865-463-7825
Is Sole Proprietor?:No
Enumeration Date:2009-07-24
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305206064225100000X
TNPT8838225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1522609Medicaid
TN1522609Medicaid
TN103I650165Medicare UPIN