Healthcare Provider Details

I. General information

NPI: 1083342869
Provider Name (Legal Business Name): ALYSSA JOAN CAPPELLETTI DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 TIMMONS LN STE 450
HOUSTON TX
77027-5904
US

IV. Provider business mailing address

3100 TIMMONS LN STE 450
HOUSTON TX
77027-5904
US

V. Phone/Fax

Practice location:
  • Phone: 713-629-9200
  • Fax:
Mailing address:
  • Phone: 713-629-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15243
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: