Provider Demographics
NPI:1801360037
Name:CONLEY, ALLISON MARY (LAT, ATC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARY
Last Name:CONLEY
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 S SPRING AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2831
Mailing Address - Country:US
Mailing Address - Phone:724-961-9601
Mailing Address - Fax:
Practice Address - Street 1:265 STATE ST
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-1060
Practice Address - Country:US
Practice Address - Phone:724-474-1005
Practice Address - Fax:724-547-0472
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARTO0002402255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer