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

Alysse Popov

Individual provider Athletic Trainer · NPI 1295511012

Alysse Popov is an Athletic Trainer in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1317 Prospect St
Indianapolis, IN 46203-1940
Phone: (317) 654-7741
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence BAF-APP23-00025 (IN)
Athletic Trainer Taxonomy 2255A2300X · Licence 000230 (IN)

Record details

NPI number1295511012
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 6, 2023
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023
Mailing address951 Tecumseh St, Indianapolis, IN 46201-1943

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