Provider Demographics
NPI:1023303989
Name:PHILLIPS, ALLISON ALICIA (LMT)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:ALICIA
Last Name:PHILLIPS
Suffix:
Gender:
Credentials:LMT
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:ALICIA
Other - Last Name:SUNDBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:9414 RIDGETOP BLVD NW
Mailing Address - Street 2:101
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8526
Mailing Address - Country:US
Mailing Address - Phone:360-308-0250
Mailing Address - Fax:360-308-0195
Practice Address - Street 1:9414 RIDGETOP BLVD NW
Practice Address - Street 2:101
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8526
Practice Address - Country:US
Practice Address - Phone:360-308-0250
Practice Address - Fax:360-308-0195
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60222790225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist