Individual
ALYSS HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
660 COTTON BRANCH DR, BOILING SPRINGS, SC 29316-6808
(330) 646-7081
Mailing address
660 COTTON BRANCH DR, BOILING SPRINGS, SC 29316-6808
(330) 646-7081
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1072
SC
Other
Enumeration date
08/06/2012
Last updated
06/10/2016
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