Provider Demographics
NPI:1053501817
Name:ZIEBART, AARON SEAN (PT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:SEAN
Last Name:ZIEBART
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2448 W HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-2500
Mailing Address - Country:US
Mailing Address - Phone:541-673-2408
Mailing Address - Fax:541-673-2432
Practice Address - Street 1:2448 W HARVARD AVE
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-2500
Practice Address - Country:US
Practice Address - Phone:541-673-2408
Practice Address - Fax:541-673-2432
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OROR 5443225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist