Chelsea Allison

Individual provider Active NPI Physical Therapy Assistant · Lake Wales, FL

NPI 1922559079 · NPPES record last updated Oct 24, 2016

Key facts

NPI
1922559079
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
27015 (FL)
Practice address
6751 Spinner Dr
Lake Wales, FL 33898-9277
Phone
(863) 521-1619
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
27015FLMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 27015 FL Yes

Addresses

Primary practice location

6751 Spinner Dr
Lake Wales, FL 33898-9277

Mailing address

6751 Spinner Dr.
Lake Wales, FL 33898
Phone (863) 521-1619

Other identifiers

IdentifierTypeStateIssuer
27015OtherFLPTA LICENSE

Other providers in Lake Wales, FL

All providers in Lake Wales, FL · Physical Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.