Healthcare Provider Details

I. General information

NPI: 1457291049
Provider Name (Legal Business Name): ALYSSA HOWARD AT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 E TOWN ST
COLUMBUS OH
43215-4601
US

IV. Provider business mailing address

52 HILLGAIL RD SW
PATASKALA OH
43062-9146
US

V. Phone/Fax

Practice location:
  • Phone: 614-788-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT.004307
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: