Individual
ALYSSA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
453 W 10TH AVE, COLUMBUS, OH 43210-2205
(614) 292-1706
Mailing address
3864 NEW MILFORD RD, ROOTSTOWN, OH 44272-9670
(608) 572-6420
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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