Healthcare Provider Details

I. General information

NPI: 1043178460
Provider Name (Legal Business Name): ALISHA J BOND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6479 REFLECTIONS DR STE 320-2
DUBLIN OH
43017-2374
US

IV. Provider business mailing address

7058 CORPORATE WAY STE 3
DAYTON OH
45459-4243
US

V. Phone/Fax

Practice location:
  • Phone: 651-399-9933
  • Fax:
Mailing address:
  • Phone: 937-991-0080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: