Provider Demographics
NPI:1245772540
Name:HILDRETH, AARON (DC)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:HILDRETH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 WESTBURY DR
Mailing Address - Street 2:UNIT 1
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2727
Mailing Address - Country:US
Mailing Address - Phone:712-830-8297
Mailing Address - Fax:
Practice Address - Street 1:521 WESTBURY DR
Practice Address - Street 2:UNIT 1
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2727
Practice Address - Country:US
Practice Address - Phone:712-830-8297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA084950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor