Provider Demographics
NPI:1194798256
Name:PIKE, ANNA DENDY (MS, ATC)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:DENDY
Last Name:PIKE
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:MISS
Other - First Name:ANNA
Other - Middle Name:LAURA
Other - Last Name:DENDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, ATC
Mailing Address - Street 1:1001 HILLSBORO LN
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3754
Mailing Address - Country:US
Mailing Address - Phone:205-903-7859
Mailing Address - Fax:
Practice Address - Street 1:806 SAINT VINCENTS DR
Practice Address - Street 2:WOMENS AND CHILDRENS CENTER SUITE 415
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1684
Practice Address - Country:US
Practice Address - Phone:205-939-3000
Practice Address - Fax:205-581-7155
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8452255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer