Provider Demographics
NPI:1184087827
Name:MILLS, ALLISON LYNN (DPT, ATC, LAT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:LYNN
Last Name:MILLS
Suffix:
Gender:F
Credentials:DPT, ATC, LAT
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:LYNN
Other - Last Name:RIESBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1227 8TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:DYERSVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52040-2365
Mailing Address - Country:US
Mailing Address - Phone:563-543-3570
Mailing Address - Fax:
Practice Address - Street 1:55 CENTRAL IOWA DR
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-4705
Practice Address - Country:US
Practice Address - Phone:563-543-3570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-31
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA005125225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist