Individual
ALYSSA SHOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
453 W 10TH AVE BLDG 306, COLUMBUS, OH 43210-2205
(614) 292-1706
(614) 292-0210
Mailing address
3232 GALLANT RD, RADNOR, OH 43066-9616
(740) 816-5711
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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