Provider Demographics
NPI:1871947689
Name:HUNTER, ALLYSON (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 IRA E WOODS AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3997
Mailing Address - Country:US
Mailing Address - Phone:817-310-3737
Mailing Address - Fax:817-310-3736
Practice Address - Street 1:2401 IRA E WOODS AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3997
Practice Address - Country:US
Practice Address - Phone:817-310-3737
Practice Address - Fax:817-310-3736
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1271637225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist