Individual
ALEXANDRA JAE MASSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT ATC
Contact information
Practice address
1307 FEDERAL ST, PITTSBURGH, PA 15212-4769
(412) 321-6698
Mailing address
122 BRIARWOOD DR, MONONGAHELA, PA 15063-1146
(412) 527-4218
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007748
PA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2020
Last updated
10/22/2024
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