Provider Demographics
NPI:1235706698
Name:ROBITSCH, AARON JAMES (CMT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:JAMES
Last Name:ROBITSCH
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 WHIPPLE AVE APT 18
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1419
Mailing Address - Country:US
Mailing Address - Phone:650-619-7502
Mailing Address - Fax:
Practice Address - Street 1:1122 WHIPPLE AVE APT 18
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1419
Practice Address - Country:US
Practice Address - Phone:650-619-7502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81537225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist