Individual
ALYSSA MARIE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA, AT
Contact information
Practice address
3205 WOODMAN DR, DAYTON, OH 45420-1143
(937) 298-4417
(937) 298-8260
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 713-1779
(513) 854-9921
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
50.007371RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0476832
—
OH
Enumeration date
01/26/2018
Last updated
06/26/2025
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