Healthcare Provider Details

I. General information

NPI: 1124677448
Provider Name (Legal Business Name): DR. ALYSON HUETTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2019
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2165 MIAMISBURG CENTERVILLE RD
DAYTON OH
45459-3814
US

IV. Provider business mailing address

6880 SPRING ARBOR DR
MASON OH
45040-8174
US

V. Phone/Fax

Practice location:
  • Phone: 937-293-7877
  • Fax:
Mailing address:
  • Phone: 937-260-8896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA.02192
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: