NPI 1093912057

John Thomas Allen, PTA

Practitioner Physical Therapy Assistant Show Low, AZ

Practice location

Address: 141 Creekwood Ln, Show Low, AZ 85901-2822
Phone: (928) 537-0055

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence AT4251 (CA)

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Registry record

NPI: 1093912057
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.