NPI 1124602537 · live from the CMS NPI Registry
Jessica Marrello Allen, PT, DPT
Physical Therapist in Flagstaff, AZ. National Provider Identifier 1124602537, active.
NPI record
| NPI | 1124602537 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 5130 N Us Highway 89, Flagstaff, AZ 86004 |
| Practice phone | 928-773-2054 |
| Mailing address | 1200 N Beaver St, Flagstaff, AZ 86001 |
| Enumerated | May 11, 2021 |
| Last updated | February 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | LPT-31669 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.