Healthcare Provider Details

I. General information

NPI: 1790692812
Provider Name (Legal Business Name): ALIETTE AMADOR DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14305 COLLIER BLVD
NAPLES FL
34119-9589
US

IV. Provider business mailing address

2816 44TH ST SW
NAPLES FL
34116-7924
US

V. Phone/Fax

Practice location:
  • Phone: 239-383-6000
  • Fax:
Mailing address:
  • Phone: 239-595-9187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT45271
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: