Provider Demographics
NPI:1255844635
Name:SCHAFER, AARON MICHEAL (PTA)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:MICHEAL
Last Name:SCHAFER
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22690 DOVER HL APT 101
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-3968
Mailing Address - Country:US
Mailing Address - Phone:248-798-3172
Mailing Address - Fax:
Practice Address - Street 1:31450 FORD RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-1820
Practice Address - Country:US
Practice Address - Phone:734-333-8001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5502003049225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant