Provider Demographics
NPI:1962563650
Name:GILBERT, ALLISON NOELLE (PT MS)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:NOELLE
Last Name:GILBERT
Suffix:
Gender:F
Credentials:PT MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 BAKER HWY
Mailing Address - Street 2:SUITE 7
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37756-4168
Mailing Address - Country:US
Mailing Address - Phone:423-663-3443
Mailing Address - Fax:423-663-3493
Practice Address - Street 1:950 BAKER HWY
Practice Address - Street 2:SUITE 7
Practice Address - City:HUNTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37756-4168
Practice Address - Country:US
Practice Address - Phone:423-663-3443
Practice Address - Fax:423-663-3493
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6716225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3659333Medicare ID - Type Unspecified