Basic Information
Provider Information
NPI: 1679786628
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HALPHEN
FirstName: ALLISON
MiddleName: JOYCE
NamePrefix: MISS
NameSuffix:  
Credential: PT, DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3901 RAINBOW BLVD
Address2:  
City: KANSAS CITY
State: KS
PostalCode: 661607220
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3901 RAINBOW BLVD
Address2:  
City: KANSAS CITY
State: KS
PostalCode: 661607220
CountryCode: US
TelephoneNumber: 9135881227
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/07/2007
LastUpdateDate: 11/19/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X1167892TXN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X2007012005MON Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X1103703KSY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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