NPI 1033560438

Lisa M Alley, ATCLAT

Practitioner Athletic Trainer Columbia, MD

Practice location

Address: 5500 Knoll North Dr, Columbia, MD 21045-2370
Phone: (443) 542-0062
Mailing address: 250 Charita Way, Severna Park, MD 21146-4004

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence A0000687 (MD)

Other Specialist/Technologist providers in Maryland →

Registry record

NPI: 1033560438
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2016
Record last updated: 27 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.