Provider Demographics
NPI:1265907455
Name:KENNEY, ALLISON NICOLE (PT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:NICOLE
Last Name:KENNEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10805 MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-4729
Mailing Address - Country:US
Mailing Address - Phone:703-978-8400
Mailing Address - Fax:703-978-9898
Practice Address - Street 1:10805 MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-4729
Practice Address - Country:US
Practice Address - Phone:703-978-8400
Practice Address - Fax:703-978-9898
Is Sole Proprietor?:No
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics