Provider Demographics
NPI:1427723303
Name:HAGERTY, ALISON (MA, LAT, ATC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:HAGERTY
Suffix:
Gender:F
Credentials:MA, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11259 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7953
Mailing Address - Country:US
Mailing Address - Phone:402-595-8872
Mailing Address - Fax:
Practice Address - Street 1:6300 S LEWISTON WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-3006
Practice Address - Country:US
Practice Address - Phone:402-595-8872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer