Provider Demographics
NPI:1891146346
Name:ALLEN, ANYA M (DPT)
Entity type:Individual
Prefix:MS
First Name:ANYA
Middle Name:M
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1685 W 2200 S
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-1456
Mailing Address - Country:US
Mailing Address - Phone:801-887-5455
Mailing Address - Fax:801-442-0946
Practice Address - Street 1:1685 W 2200 S
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-1456
Practice Address - Country:US
Practice Address - Phone:801-887-5455
Practice Address - Fax:801-442-0946
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist