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Alisha Tootle

Student in an Organized Health Care Education/Training Program in Austin, TX. Individual provider (NPI-1).

NPI number1043774151
StatusActive
Last updated in NPPESJan 23, 2019

Details

NPI
1043774151
Entity type
Individual (NPI-1)
Name
Alisha Tootle
Sex
Female
Sole proprietor
No
Enumeration date
Jan 23, 2019
Last updated
Jan 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

8300 Steamline Cir
Austin, TX 78745-8050

Phone 512-921-5502

Mailing address

8300 Steamline Cir
Austin, TX 78745-8050

Phone 512-921-5502

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