Alyssa Colleen Tendall Stout
Rehabilitation Practitioner Sports Medicine
215 5th St
Marietta
, Ohio 45750-4033
Alyssa Colleen Tendall Stout
Rehabilitation Practitioner Sports Medicine
215 5th St
Marietta
, Ohio 45750-4033
(515) 231-1327
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About
Features
Specialties
- Sports Medicine
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Alyssa Colleen Tendall Stout
- 215 5th St
- Marietta, OH
- Zip : 45750-4033
- Phone : (515) 231-1327
Second Address
- Alyssa Colleen Tendall Stout
- 215 5th St
- Marietta, OH
- Zip : 45750-4033
- Phone : (740) 376-4575
Reviews
FAQs
Where did Alyssa Colleen Tendall Stout attend graduate school?
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Is Alyssa Colleen Tendall Stout board certified?
What type of doctor is Alyssa Colleen Tendall Stout
In what state does Alyssa Colleen Tendall Stout practice in?
Where is Alyssa Colleen Tendall Stout ’s practice located?
What is Alyssa Colleen Tendall Stout ’s gender?
Is Alyssa Colleen Tendall Stout a sole practitioner?
Is Alyssa Colleen Tendall Stout accepting new patients?
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Does Alyssa Colleen Tendall Stout have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | AT005607 | OH |
| Y | 213ES0000X | Sports Medicine | AT005607 | OH |
| N | 225400000X | Rehabilitation Practitioner | AT005607 | OH |
National Provider Identifier
| NPI | 1487058343 |
|---|---|
| Provider Name | Alyssa Colleen Tendall Stout |
| First Address | Marietta, OH 45750-4033 |
| Second Address | Marietta, OH 45750-4033 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/10/2014 |
| Last Update Date | 11/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| AT005607 | ATHLETIC TRAINER (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.