Provider Demographics
NPI:1447676036
Name:SCHRAMM, ALYSSA KATHERINE (MED, ATC)
Entity type:Individual
Prefix:MISS
First Name:ALYSSA
Middle Name:KATHERINE
Last Name:SCHRAMM
Suffix:
Gender:F
Credentials:MED, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2543 CLUBHOUSE CIR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-8632
Mailing Address - Country:US
Mailing Address - Phone:614-620-0997
Mailing Address - Fax:
Practice Address - Street 1:20 ALUMNI ARENA
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14260-5001
Practice Address - Country:US
Practice Address - Phone:716-645-8793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22662255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer