Provider Demographics
NPI:1205184066
Name:DEGREEFF, AARON A (DPT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:A
Last Name:DEGREEFF
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 1:78 KENRICK PLZ
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-4414
Mailing Address - Country:US
Mailing Address - Phone:314-962-8020
Mailing Address - Fax:314-962-6570
Practice Address - Street 1:78 KENRICK PLZ
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-4414
Practice Address - Country:US
Practice Address - Phone:314-962-8020
Practice Address - Fax:314-962-6570
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20120276392251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports