Provider Demographics
NPI:1043677610
Name:MCDONALD, AARON T (DPT)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:T
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:8925 W RUSSELL RD STE 140
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-1220
Mailing Address - Country:US
Mailing Address - Phone:702-914-6787
Mailing Address - Fax:702-410-7338
Practice Address - Street 1:7324 W CHEYENNE AVE STE 7
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7426
Practice Address - Country:US
Practice Address - Phone:702-309-0122
Practice Address - Fax:702-214-6865
Is Sole Proprietor?:No
Enumeration Date:2016-01-26
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT10658719-2401225100000X
IDPT-4299225100000X
NV3278225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist