Individual
ALYSSA BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-7266
(253) 968-1110
Mailing address
133 MAGNOLIA AVE SE, FORT WALTON BEACH, FL 32548-7266
(860) 499-0776
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003018
VA
Other
Enumeration date
07/25/2013
Last updated
08/18/2025
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