Provider Demographics
NPI:1134656242
Name:LOFERSKI, AARON M (DPT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:M
Last Name:LOFERSKI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 E LAYTON AVE STE 160
Mailing Address - Street 2:
Mailing Address - City:ST FRANCIS
Mailing Address - State:WI
Mailing Address - Zip Code:53235-6054
Mailing Address - Country:US
Mailing Address - Phone:414-787-8400
Mailing Address - Fax:
Practice Address - Street 1:2000 E LAYTON AVE STE 160
Practice Address - Street 2:
Practice Address - City:ST FRANCIS
Practice Address - State:WI
Practice Address - Zip Code:53235-6054
Practice Address - Country:US
Practice Address - Phone:414-787-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13778-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist