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ALEXIS ROSE MUTTILLO
NPI 1942729355
Student in an Organized Health Care Education/Training Program in Tega Cay, SC

Active since September 18, 2017
1054 CAMERON CREEK PKWY, TEGA CAY, SC 29708(803) 579-9474 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 18, 2017 (2 updates tracked since 2017).

About Alexis Rose Muttillo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS ROSE MUTTILLO (NPI 1942729355) is an individual student in an organized health care education/training program in Tega Cay, South Carolina and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1942729355
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEXIS ROSE MUTTILLO
Location Address1054 CAMERON CREEK PKWYTega Cay, SC 29708
Mailing Address1054 Cameron Creek PkwyTega Cay, SC 29708-0078 · (803) 579-9474
Phone(803) 579-9474
Sole ProprietorNo
Enumeration DateSeptember 18, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1942729355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1054 CAMERON CREEK PKWY, Tega Cay, SC 29708
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Muttillo's NPI number?

The NPI number for Alexis Muttillo is 1942729355. It was assigned to this individual provider in the NPPES registry on September 18, 2017.

Where is Alexis Muttillo located?

Alexis Muttillo practices at 1054 Cameron Creek Pkwy, Tega Cay, SC 29708. The listed phone number is (803) 579-9474.

What is Alexis Muttillo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Alexis Muttillo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.