Provider Demographics
NPI:1184909558
Name:D'ALESSIO, AMY RACHEL
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:RACHEL
Last Name:D'ALESSIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6777 BAREFOOT COVE CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-5488
Mailing Address - Country:US
Mailing Address - Phone:704-483-6368
Mailing Address - Fax:
Practice Address - Street 1:954 2ND ST NE SPC 6
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3842
Practice Address - Country:US
Practice Address - Phone:828-358-4760
Practice Address - Fax:828-385-8015
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP10359225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist