Provider Demographics
NPI:1164773818
Name:ROBBINS, AARON M (LMT)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:M
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 N LEYDEN ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-3870
Mailing Address - Country:US
Mailing Address - Phone:508-649-8710
Mailing Address - Fax:
Practice Address - Street 1:26 N LEYDEN ST
Practice Address - Street 2:APT. 1
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-3870
Practice Address - Country:US
Practice Address - Phone:508-649-8710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9788225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist