Individual provider · Type 1 NPI
Alexis Rose Muttillo
Student in an Organized Health Care Education/Training Program · Tega Cay, SC
NPI number
1942729355
Active
Practice location
1054 Cameron Creek Pkwy
Tega Cay, SC 29708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Tega Cay
About NPI 1942729355
Alexis Rose Muttillo's National Provider Identifier is 1942729355, issued on Sep 18, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tega Cay, SC. The record was last updated on Jul 21, 2022.