Individual
BRYAIR DESTINY ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
4202 E FOWLER AVE STOP ATH100, TAMPA, FL 33620-4000
(862) 324-4051
Mailing address
8802 ANGLERS POINTE DR, TEMPLE TERRACE, FL 33637-1838
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5366
FL
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2017
Last updated
07/29/2021
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