Individual
ALISON THOMAS
Active
Individual
ALISON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010027518
REGENCE BLUE SHIELD OF ID
ID
01
—
0129414
LABOR & INDUSTRY
ID
01
—
650021544
RAILROAD MEDICARE
ID
01
—
7767492
AETNA
ID
05
—
805249100
—
ID
05
—
807710200
—
ID
01
—
911745305-83544-A005
TRICARE
WA
01
—
T4751
BLUE CROSS OF IDAHO
ID
Enumeration date
06/01/2006
Last updated
01/25/2012
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