Provider Demographics
NPI:1235784927
Name:TOWNSEND, MARY ALLISON (PT)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ALLISON
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 E SPEEDWAY BLVD STE 145
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-3917
Mailing Address - Country:US
Mailing Address - Phone:520-325-4002
Mailing Address - Fax:520-325-4227
Practice Address - Street 1:3501 E SPEEDWAY BLVD STE 145
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3917
Practice Address - Country:US
Practice Address - Phone:520-325-4002
Practice Address - Fax:520-325-4227
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12575225100000X
AZLPT-033642225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist