Individual
DR. JESSIKA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT ATC/L, FAAOM
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11640380-2401
UT
2255A2300X
Athletic Trainer
11640380-4810
UT
Other
Enumeration date
01/27/2021
Last updated
04/05/2024
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