Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Rose Muttillo

Individual provider Athletic Trainer · NPI 1942729355

Alexis Rose Muttillo is an Athletic Trainer in Tega Cay, South Carolina. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1054 Cameron Creek Pkwy
Tega Cay, SC 29708
Phone: (803) 579-9474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1942729355
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1054 Cameron Creek Pkwy, Tega Cay, SC 29708-0078

Other providers in Tega Cay