Provider Demographics
NPI:1053349324
Name:ALLISON, PHIILIP LEE (ATC,MS,CSCS)
Entity type:Individual
Prefix:MR
First Name:PHIILIP
Middle Name:LEE
Last Name:ALLISON
Suffix:
Gender:M
Credentials:ATC,MS,CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1823 INDIAN HILLS RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-3023
Mailing Address - Country:US
Mailing Address - Phone:615-453-8600
Mailing Address - Fax:
Practice Address - Street 1:1823 INDIAN HILLS RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-3023
Practice Address - Country:US
Practice Address - Phone:615-453-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAT00000005462255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer