IndividualActive
Allison Bourassa, PT, DPT, NCS, ATC
NPI 1194165696 · Neurology Physical Therapist · Johnson City, TN
Provider details
- NPI number
- 1194165696
- Entity type
- Individual
- Primary specialty
- Neurology Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, NCS, ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10865 (TN)
Practice location
1043 Jack Vest Dr
Johnson City, TN 37614
Phone: (423) 439-4044
Fax: (423) 439-5264
Mailing address
216 Charles Ed Allen Hall
Johnson City, TN 37614-3429
Registry dates
- Enumerated
- 2013-06-28
- Last updated
- 2024-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.