Provider Demographics
NPI:1649363383
Name:ADAMS, ALLEN T (PT)
Entity type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:T
Last Name:ADAMS
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:1006 E. WARNER RD., STE 114
Mailing Address - Street 2:ARIZONA INDUSTRIAL, SPORT & SPINE, INC.
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-3216
Mailing Address - Country:US
Mailing Address - Phone:480-897-9016
Mailing Address - Fax:480-897-9210
Practice Address - Street 1:1006 E. WARNER RD., STE. 114
Practice Address - Street 2:ARIZONA INDUSTRIAL, SPORT & SPINE, INC.
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-3216
Practice Address - Country:US
Practice Address - Phone:480-897-9016
Practice Address - Fax:480-897-9210
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ21132251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZA-100786OtherMULTIPLAN
AZA-100786OtherBCE-EMERGIS
AZTC00885OtherTRI CARE
AZ670917OtherACN
AZ2Z9327OtherHELATH NET
AZ497630OtherONE HEALTH
AZ7799540OtherAETNA
AZAZ0462410OtherBLUE CROSS/ BLUE SHIELD
AZQH9011OtherEMPIRE BC/BS
AZ7799540OtherAETNA