Individual
ALECIA B ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
631 N CAMPBELL STATION RD STE 1600, FARRAGUT, TN 37934-1628
(865) 777-0367
(865) 777-0562
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3763
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4276750
BLUE CROSS BLUE SHEILD
TN
Enumeration date
08/23/2010
Last updated
01/15/2020
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