# ALESIA L DRAKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013329812
- **Gender:** F
- **Credential:** DPT, PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 12673-24 | WI | Yes |

## Other

- **Enumeration date:** 05/28/2014
- **Last updated:** 02/20/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1013329812 | BCBSWI | WI |
| 05 | — | 1013329812 | — | WI |
| 05 | — | 3288222326001 | — | IL |
| 01 | — | 35525 | MERCYCARE INSURANCE | WI |
| 01 | — | K400566695 | WI MEDICARE | WI |