Provider Demographics
NPI:1477443844
Name:ALLMON, TYRA L
Entity type:Individual
Prefix:
First Name:TYRA
Middle Name:L
Last Name:ALLMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 FELLOWSHIP LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37914-5908
Mailing Address - Country:US
Mailing Address - Phone:865-249-2885
Mailing Address - Fax:
Practice Address - Street 1:1116 FELLOWSHIP LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37914-5908
Practice Address - Country:US
Practice Address - Phone:865-249-2885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer