Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALYSSA COLLEEN TENDALL STOUT, ATC
ActiveALYSSA COLLEEN TENDALL STOUT, ATC is a Sports Medicine (PM&R) healthcare provider located in MARIETTA, Ohio. NPI 1487058343 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · MARIETTA, OH
Registration Details
- NPI Number
- 1487058343
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 21, 2014 (11.844350050754 yrs)
- Last Updated
- Feb 11, 2019
- Licenses
-
AT005607 (OH)AT005607 (OH)AT005607 (OH)
Practice Information
- Address
-
215 5TH STMARIETTA, OH, 457504033Browse OH providers · Browse ZIP 45750
- Phone
- 7403764575
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Sports Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.