Provider Demographics
NPI:1447990767
Name:FLOCK, ALLYSON (DPT)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:FLOCK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 MOWERY CIR NW
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:TN
Mailing Address - Zip Code:37310-7112
Mailing Address - Country:US
Mailing Address - Phone:423-716-7026
Mailing Address - Fax:
Practice Address - Street 1:21 S CREST RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-4006
Practice Address - Country:US
Practice Address - Phone:615-478-7650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist