Individual
ALISSA RUTH CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2273
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(404) 918-1004
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004414
GA
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2021
Last updated
05/28/2026
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