Wellformed AI

NPI 1518378595 · live from the CMS NPI Registry

Bryan Jeffrey Allen, L.M.T

Technician, Personal Care Attendant in Pensacola, FL. National Provider Identifier 1518378595, active.

NPI record

NPI1518378595 Type 1 · individual
StatusActive
Primary specialtyTechnician, Personal Care Attendant 3747P1801X
Practice location209 Betty Rd, Pensacola, FL 32507
Practice phone850-293-3000
EnumeratedMay 13, 2014
Last updatedAugust 14, 2020
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist225700000XMA74015 (FL)
Technician, Personal Care Attendant primary3747P1801X100094054 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.