Provider Demographics
NPI:1134195076
Name:PEARSON, ALYSON C (AT, C)
Entity type:Individual
Prefix:MRS
First Name:ALYSON
Middle Name:C
Last Name:PEARSON
Suffix:
Gender:F
Credentials:AT, C
Other - Prefix:
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Mailing Address - Street 1:959 SPRINGCREST CT
Mailing Address - Street 2:#21
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-2373
Mailing Address - Country:US
Mailing Address - Phone:801-352-0232
Mailing Address - Fax:801-568-3482
Practice Address - Street 1:8785 S 3590 W
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-9772
Practice Address - Country:US
Practice Address - Phone:801-568-3480
Practice Address - Fax:801-568-3482
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer