Most Relevant Information
Provider Data
| NPI Number: | 1003421389 |
| Provider Name: | ALYSSA BETTAG PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 2251P0200X |
| Specialty: | Physical Therapist |
| License Number: | 05013760A |
Most Important Dates
| Enumeration Date: | 09/13/2020 |
| Last Updated: | 11/08/2023 |
Provider Practice Location
7701 E 21ST ST
INDIANAPOLIS
IN
462192406
Practice Location Phone/Fax
| Phone: | 3173291000 |
| Fax: |
Provider Mailing Location
7701 E 21ST ST
INDIANAPOLIS
IN
462192406
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |