Individual
ALLYSSA MEMMINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 SPORTS CENTRE DR, LEXINGTON, KY 40506-0001
(708) 641-1676
Mailing address
620 N CARROLL ST, 705, MADISON, WI 53703-1346
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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