MEDICARE: DR. ALYSSA JOAN CAPPELLETTI DC

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	111N00000X	Chiropractor	15243	TX

General Provider Information

NPI Number	:	1083342869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALYSSA JOAN CAPPELLETTI DC

Provider Business Mailing Address
First Line	:	3100 TIMMONS LN STE 450
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5904
Country	:	US
Telephone Number	:	713-629-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 TIMMONS LN STE 450
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5904
Country	:	US
Telephone Number	:	713-629-9200
Fax Number	:

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

Provider Enumeration Date	:	08/10/2022
Last Update Date	:	08/10/2022

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Directions to “ DR. ALYSSA JOAN CAPPELLETTI DC” Practice Location

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