Individual
ALEXIS PORTERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY PLZ, YOUNGSTOWN, OH 44555-0001
(330) 941-3650
Mailing address
385 MATHEWS RD, YOUNGSTOWN, OH 44512-3046
(301) 885-9568
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
01/08/2021
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