Alexis Rose Muttillo

NPI #1942729355 in Tega Cay, South Carolina

Provider Information

NPI Number: 1942729355
Entity Type: Individual
Name: Alexis Rose Muttillo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 18, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1054 CAMERON CREEK PKWY
City: Tega Cay
State: South Carolina
ZIP Code: 29708
Phone: (803) 579-9474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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Individual Providers

Provider Name	Specialty	City
Kaitlyn Vollmer	Student in an Organized Health Care Education/Training Program	Tega Cay	AI Deep Dive
Noah Stalnaker	Student in an Organized Health Care Education/Training Program	Tega Cay	AI Deep Dive
Anna Marie Darnell, COTA/L	Student in an Organized Health Care Education/Training Program	Spartanburg	AI Deep Dive

Organizations

Provider Name	Specialty	City
Youth Options Under Teen Health, INC	Student in an Organized Health Care Education/Training Program	Winnsboro	AI Deep Dive
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