Provider Demographics
NPI:1801460597
Name:DENNETT, ALYSSAH (DPT)
Entity type:Individual
Prefix:
First Name:ALYSSAH
Middle Name:
Last Name:DENNETT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SECOND ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:ME
Mailing Address - Zip Code:04344-2931
Mailing Address - Country:US
Mailing Address - Phone:207-582-9898
Mailing Address - Fax:
Practice Address - Street 1:14 SECOND ST
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:ME
Practice Address - Zip Code:04344-2931
Practice Address - Country:US
Practice Address - Phone:207-582-9898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist