Individual
ALYSSA MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15054
WI
225100000X
Physical Therapist
15054-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40252000
—
WI
Enumeration date
10/05/2020
Last updated
10/27/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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