Alexa Courtney Pellack
Specialist/Technologist, Athletic Trainer in Cape Coral, FL. Individual provider (NPI-1).
NPI number1881266450
StatusActive
Last updated in NPPESJun 8, 2023
Details
- NPI
- 1881266450
- Entity type
- Individual (NPI-1)
- Name
- Alexa Courtney Pellack
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2021
- Certification date
- Jun 8, 2023
- Last updated
- Jun 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 6949 | FL | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
1502 Sw 50th St Apt 304Cape Coral, FL 33914-3459
Phone 570-730-1916
Mailing address
1502 Sw 50th St Apt 304Cape Coral, FL 33914-3459
Phone 570-730-1916
Other practice locations
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