Provider Demographics
NPI:1437698974
Name:COTTMAN, ALYSSA RONNIE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:RONNIE
Last Name:COTTMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5605 100TH ST SW
Mailing Address - Street 2:STE B
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2710
Mailing Address - Country:US
Mailing Address - Phone:915-593-3787
Mailing Address - Fax:
Practice Address - Street 1:1891 N LEE TREVINO DR
Practice Address - Street 2:SUITE 700
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4127
Practice Address - Country:US
Practice Address - Phone:915-593-3787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-16
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60861839225100000X
TX1286521225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist