Provider Demographics
NPI:1285451146
Name:REMSTER, ALYSSA (PTA)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:REMSTER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:LEEF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:5850 E LOVERS LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-2902
Mailing Address - Country:US
Mailing Address - Phone:214-301-3096
Mailing Address - Fax:
Practice Address - Street 1:5850 E LOVERS LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-2902
Practice Address - Country:US
Practice Address - Phone:214-301-3096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2153292225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant