IndividualActive
Alyssa Stout, ATC
NPI 1699122119 · Athletic Trainer · Evans, GA
Provider details
- NPI number
- 1699122119
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- AT003333 (GA)
Mailing address
1120 15th St Ste Bi-1056
Augusta, GA 30912-0004
Registry dates
- Enumerated
- 2016-05-16
- Last updated
- 2020-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.