IndividualActive
Alysse Popov
NPI 1295511012 · Athletic Trainer · Indianapolis, IN
Provider details
- NPI number
- 1295511012
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 000230 (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1317 Prospect St
Indianapolis, IN 46203-1940
Phone: (317) 654-7741
Approximate (ZIP-level) locationGet directions
Mailing address
951 Tecumseh St
Indianapolis, IN 46201-1943
Registry dates
- Enumerated
- 2023-09-06
- Last updated
- 2023-09-18
- Certified
- 2023-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.