Provider Demographics
NPI:1053085431
Name:SALVITTI, ALISSA M (DC)
Entity type:Individual
Prefix:DR
First Name:ALISSA
Middle Name:M
Last Name:SALVITTI
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 1:350 BLUE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-2031
Mailing Address - Country:US
Mailing Address - Phone:484-888-2083
Mailing Address - Fax:
Practice Address - Street 1:131 W MINER ST
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-3215
Practice Address - Country:US
Practice Address - Phone:267-361-4652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011629111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor