Provider Demographics
NPI:1699931378
Name:MCALLISTER, JESSICA FRANCINE (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:FRANCINE
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:FRANCINE
Other - Last Name:GRAF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:PO BOX 1705
Mailing Address - Street 2:
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-1705
Mailing Address - Country:US
Mailing Address - Phone:307-250-4211
Mailing Address - Fax:307-587-9867
Practice Address - Street 1:1819 SHERIDAN AVE
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-3886
Practice Address - Country:US
Practice Address - Phone:307-587-9866
Practice Address - Fax:307-587-9867
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8156225100000X
WYPT-1374225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY132728300Medicaid