Provider Demographics
NPI:1831610179
Name:MEYER, ALISSA CLAIRE (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:ALISSA
Middle Name:CLAIRE
Last Name:MEYER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:ALISSA
Other - Middle Name:CLAIRE
Other - Last Name:JANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1760 COUNTY ROAD J
Mailing Address - Street 2:
Mailing Address - City:WAHOO
Mailing Address - State:NE
Mailing Address - Zip Code:68066-4152
Mailing Address - Country:US
Mailing Address - Phone:402-443-4191
Mailing Address - Fax:402-443-1445
Practice Address - Street 1:1760 COUNTY ROAD J
Practice Address - Street 2:THERAPY DEPARTMENT
Practice Address - City:WAHOO
Practice Address - State:NE
Practice Address - Zip Code:68066-4152
Practice Address - Country:US
Practice Address - Phone:402-443-4191
Practice Address - Fax:402-443-1445
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3716225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist