Individual
ALEXIS ANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 UNIVERSITY BLVD, BEAVERCREEK, OH 45324-2640
(937) 245-7200
Mailing address
9754 TUTTLE RD, OLMSTED TWP, OH 44138-4220
(216) 513-6828
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
335449
LA
2255A2300X
Athletic Trainer
Primary
AT006643
OH
390200000X
Student in an Organized Health Care Education/Training Program
2255A2300X
OH
Other
Enumeration date
08/28/2016
Last updated
03/24/2023
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