IndividualActive
Alyssa Bullerman, PTA
NPI 1902479967 · Physical Therapy Assistant · Decorah, IA
Provider details
- NPI number
- 1902479967
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 001203 (IA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
901 Montgomery St
Decorah, IA 52101-2325
Phone: (563) 382-2911
Approximate (ZIP-level) locationGet directions
Mailing address
901 Montgomery St
Decorah, IA 52101-2325
Registry dates
- Enumerated
- 2021-07-19
- Last updated
- 2021-07-19
- Certified
- 2021-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.