| Doctor Name: | DR. BRADLEY L. ALLISON |
| NPI Number: | 1487902060 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 2012026873 |
| Business Practice Address: | 7421 Highway N Suite B Dardenne Prairie, MO - 63368 |
| Business Phone Number: | 6365612060 |
| Business Fax Number: | |
| Mailing Address: | 9200 Calumet Ave Suite 100, MUNSTER |
| State: | IN |
| Postal Code: | 463212885 |
| Phone Number: | 7082362600 |
| Fax Number: | 7084095179 |
| NPI Enumeration Date: | 08/29/2012 |
| NPI Last Update Date: | 11/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 2012026873 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |