Provider Demographics
NPI:1316218316
Name:TURCOTTE, ALYSSA (MS, ATC)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:TURCOTTE
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HARTHAN WAY
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:PA
Mailing Address - Zip Code:16401-1370
Mailing Address - Country:US
Mailing Address - Phone:814-756-9400
Mailing Address - Fax:814-756-9411
Practice Address - Street 1:200 HARTHAN WAY
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:PA
Practice Address - Zip Code:16401-1370
Practice Address - Country:US
Practice Address - Phone:814-756-9400
Practice Address - Fax:814-756-9411
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0044972255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer