MEDICARE: ALYSSA GALINDO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	0012705	CO
2	225200000X	Physical Therapy Assistant	1401998	KS

General Provider Information

NPI Number	:	1790145373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA GALINDO

Provider Business Mailing Address
First Line	:	820 S DENISON ST
Second Line	:
City	:	SAINT FRANCIS
State	:	KS
Zip	:	67756-3541
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 S DENISON ST
Second Line	:
City	:	SAINT FRANCIS
State	:	KS
Zip	:	67756-3541
Country	:	US
Telephone Number	:	785-332-2531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2016
Last Update Date	:	02/25/2016

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Directions to “ ALYSSA GALINDO ” Practice Location

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