Provider Demographics
NPI:1598067878
Name:DAVIS-PITRE, ALETTA RENEE (PT)
Entity Type:Individual
Prefix:MRS
First Name:ALETTA
Middle Name:RENEE
Last Name:DAVIS-PITRE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 BELL ST
Mailing Address - Street 2:STE 1400
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-7028
Mailing Address - Country:US
Mailing Address - Phone:806-355-7633
Mailing Address - Fax:806-355-7644
Practice Address - Street 1:6801 BELL ST
Practice Address - Street 2:STE 1400
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-7028
Practice Address - Country:US
Practice Address - Phone:806-355-7633
Practice Address - Fax:806-355-7644
Is Sole Proprietor?:No
Enumeration Date:2010-11-19
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1153180225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist