Alyssa Teague, DPT

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Elsmere, KY

NPI 1487327722 · NPPES record last updated Jul 30, 2021

Key facts

NPI
1487327722
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
007799 (KY)
Practice address
3802 Turkeyfoot Rd
Elsmere, KY 41018-2838
Phone
(859) 342-0200
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
007799KYMDPhysical Medicine & Rehabilitation Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 007799 KY Yes

Addresses

Primary practice location

3802 Turkeyfoot Rd
Elsmere, KY 41018-2838

Mailing address

10709 Blue Spruce LN
Independence, KY 41051-8190
Phone (859) 640-0546

Other names

  • Alyssa Sullivan Former name

Other providers in Elsmere, KY

All providers in Elsmere, KY · Physical Medicine & Rehabilitation Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.