Provider Demographics
NPI:1033956222
Name:DAVIS, AIKA ELYN
Entity type:Individual
Prefix:
First Name:AIKA
Middle Name:ELYN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 HARVEY MITCHELL PKWY S APT 5-204
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-6256
Mailing Address - Country:US
Mailing Address - Phone:580-695-0922
Mailing Address - Fax:
Practice Address - Street 1:1711 HARVEY MITCHELL PKWY S APT 5-204
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77840-6256
Practice Address - Country:US
Practice Address - Phone:580-695-0922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-13
Last Update Date:2024-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer