Provider Demographics
NPI:1598873598
Name:REUTER, ALISON E (MSPT)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:E
Last Name:REUTER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:E
Other - Last Name:BAKSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:600 PARK AVE
Mailing Address - Street 2:PO BOX 427
Mailing Address - City:MARION HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:17832
Mailing Address - Country:US
Mailing Address - Phone:570-373-3300
Mailing Address - Fax:570-373-3363
Practice Address - Street 1:600 PARK AVE
Practice Address - Street 2:
Practice Address - City:MARION HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:17832
Practice Address - Country:US
Practice Address - Phone:570-373-3300
Practice Address - Fax:570-373-3363
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016412225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015708970001Medicaid
PARE1726652OtherBLUE SHIELD
PA50048841OtherBLUE CROSS
PA1015708970001Medicaid