Provider Demographics
NPI:1376379776
Name:EGGERT, ALLISON KATHLEEN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:KATHLEEN
Last Name:EGGERT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 S 44TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5143
Mailing Address - Country:US
Mailing Address - Phone:402-937-3051
Mailing Address - Fax:
Practice Address - Street 1:1761 W JESSE JAMES RD
Practice Address - Street 2:
Practice Address - City:EXCELSIOR SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64024-1801
Practice Address - Country:US
Practice Address - Phone:816-630-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4705225100000X
MOCP034766T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist