Provider Demographics
NPI:1427224823
Name:AITKEN, MARK P (PT)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:P
Last Name:AITKEN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720 HUNTINGTON LAKES CIR APT 101
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8008
Mailing Address - Country:US
Mailing Address - Phone:239-591-1050
Mailing Address - Fax:
Practice Address - Street 1:6720 HUNTINGTON LAKES CIR APT 101
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-8008
Practice Address - Country:US
Practice Address - Phone:239-591-1050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15733225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist