Provider Demographics
NPI:1730555996
Name:MOHNEY, ALLYSSA (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:ALLYSSA
Middle Name:
Last Name:MOHNEY
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:ALLYSSA
Other - Middle Name:BROOKE
Other - Last Name:ZENTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LAT, ATC
Mailing Address - Street 1:4236 SW KIRKLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66609-1257
Mailing Address - Country:US
Mailing Address - Phone:785-231-8184
Mailing Address - Fax:
Practice Address - Street 1:4236 SW KIRKLAWN AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66609-1257
Practice Address - Country:US
Practice Address - Phone:785-231-8184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS24-011022255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS24-01102OtherKS BOARD OF HEALING ARTS