Individual
ALYSSA MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
101 N. JORDAN AVE., MUSICAL ARTS CENTER: ROOM 401, BLOOMINGTON, IN 47406
(317) 696-1204
Mailing address
2611 N. WALNUT ST., APT. 9, BLOOMINGTON, IN 47404
(317) 696-1204
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001859A
IN
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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