Provider Demographics
NPI:1447509393
Name:ALLEMAN, MICHELLE ASHLEY (PT)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ASHLEY
Last Name:ALLEMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:ASHLEY
Other - Last Name:PENTTILA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:916 PACIFIC AV.
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201
Mailing Address - Country:US
Mailing Address - Phone:425-258-7600
Mailing Address - Fax:425-258-7406
Practice Address - Street 1:916 PACIFIC AV
Practice Address - Street 2:2ND FLOOR
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201
Practice Address - Country:US
Practice Address - Phone:425-258-7600
Practice Address - Fax:425-258-7406
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60268779225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist