Most Relevant Information
Provider Data
| NPI Number: | 1003544891 |
| Provider Name: | ALEXIS NOTTAGE PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/10/2022 |
| Last Updated: | 08/10/2022 |
Provider Practice Location
13655 PROVIDENCE RD
MATTHEWS
NC
281049373
Practice Location Phone/Fax
| Phone: | 7042467050 |
| Fax: |
Provider Mailing Location
5682 GREEN DALE CT
SUMMERFIELD
NC
273589156
Provider Mailing Phone/Fax
| Phone: | 3365804353 |
| Fax: |