Alan Lee Tisdal, PT

NPI #1275096844 in Northport, Alabama

Provider Information

NPI Number: 1275096844
Entity Type: Individual
Name: Alan Lee Tisdal, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 10, 2019
Last Updated: Apr 10, 2019

Practice Location

Address: 400 MCFARLAND BLVD STE F
City: Northport
State: Alabama
ZIP Code: 35476-3371
Phone: (205) 333-5351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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