Provider Demographics
NPI:1588732853
Name:BARNETT, ALISON J (DPT, PT)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:J
Last Name:BARNETT
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:MS
Other - First Name:ALISON
Other - Middle Name:J
Other - Last Name:HAMMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:11930 WHITMORE LAKE RD.
Mailing Address - Street 2:SUITE I-M
Mailing Address - City:WHITMORE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48189
Mailing Address - Country:US
Mailing Address - Phone:734-449-4649
Mailing Address - Fax:734-449-4669
Practice Address - Street 1:11930 WHITMORE LAKE RD.
Practice Address - Street 2:SUITE I-M
Practice Address - City:WHITMORE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48189
Practice Address - Country:US
Practice Address - Phone:734-449-4649
Practice Address - Fax:734-449-4669
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501009812225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N73670Medicare ID - Type Unspecified