Provider Demographics
NPI:1760181143
Name:FISCHER, ALYSSA (LAT, ATC)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:
Last Name:FISCHER
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ELVERSON
Mailing Address - State:PA
Mailing Address - Zip Code:19520-9700
Mailing Address - Country:US
Mailing Address - Phone:610-804-1215
Mailing Address - Fax:
Practice Address - Street 1:4897 N TWIN VALLEY RD
Practice Address - Street 2:
Practice Address - City:ELVERSON
Practice Address - State:PA
Practice Address - Zip Code:19520-9340
Practice Address - Country:US
Practice Address - Phone:610-286-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer