Individual
ALYSSA IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3067 S 35TH AVE, OMAHA, NE 68105-3554
(214) 546-5279
Mailing address
3067 S 35TH AVE, OMAHA, NE 68105-3554
(214) 546-5279
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
952
NE
2255A2300X
Athletic Trainer
—
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
NE
Other
Enumeration date
07/31/2018
Last updated
05/21/2019
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