Provider Demographics
NPI:1447147319
Name:MARSHALL, ALLISON DYER (DPT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:DYER
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:RAYE
Other - Last Name:DYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:514 N PESHTIGO CT APT 3406
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-5455
Mailing Address - Country:US
Mailing Address - Phone:727-871-2544
Mailing Address - Fax:
Practice Address - Street 1:514 N PESHTIGO CT APT 3406
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5455
Practice Address - Country:US
Practice Address - Phone:727-871-2544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12914225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist