Provider Demographics
NPI:1710100029
Name:THOMAS, ALYSSA AMALIA (RD)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:AMALIA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:ALYSSA
Other - Middle Name:AMALIA
Other - Last Name:WEHRMEISTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2112 CLARKE ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228
Mailing Address - Country:US
Mailing Address - Phone:540-819-1793
Mailing Address - Fax:540-819-1793
Practice Address - Street 1:2112 CLARKE ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228
Practice Address - Country:US
Practice Address - Phone:540-819-1793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered