Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT-6245 | OH |
NPI | 1063536530 |
---|---|
Provider Name | Mr. Aaron L. Burkett |
First Address | Tiffin, OH 44883-3340 |
Second Address | Kenton, OH 43326-1720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 19/08/2011 |