Provider Demographics
NPI:1922470715
Name:PITT, ALLISON (DC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:PITT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W238N1690 ROCKWOOD DR STE 200
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1151
Mailing Address - Country:US
Mailing Address - Phone:262-691-0997
Mailing Address - Fax:262-737-0347
Practice Address - Street 1:W238N1690 ROCKWOOD DR STE 200
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1151
Practice Address - Country:US
Practice Address - Phone:262-691-0997
Practice Address - Fax:262-737-0347
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5126111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor