Provider Demographics
NPI:1184213290
Name:HIRSCHMAN, ALYSSA B (DC, LMT)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:B
Last Name:HIRSCHMAN
Suffix:
Gender:F
Credentials:DC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 APRICOT CT
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2326
Mailing Address - Country:US
Mailing Address - Phone:301-395-5114
Mailing Address - Fax:
Practice Address - Street 1:404 KING FARM BLVD STE 140
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6100
Practice Address - Country:US
Practice Address - Phone:240-242-9598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-13
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM04875225700000X
MDS04076111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM04875OtherMASSAGE THERAPY
MDS04076OtherCHIROPRACTOR