Provider Demographics
NPI:1114737533
Name:DOVRE, ALLISON M
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:M
Last Name:DOVRE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:M
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2091 130TH ST
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:IA
Mailing Address - Zip Code:50036-7318
Mailing Address - Country:US
Mailing Address - Phone:515-290-5711
Mailing Address - Fax:
Practice Address - Street 1:2091 130TH ST
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:IA
Practice Address - Zip Code:50036-7318
Practice Address - Country:US
Practice Address - Phone:515-290-5711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA074091225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist