Provider Demographics
NPI:1346744182
Name:BERRY, AARON D (PTA)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:D
Last Name:BERRY
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 1:1319 PACHECO COURT APT. A
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505
Mailing Address - Country:US
Mailing Address - Phone:505-920-3246
Mailing Address - Fax:
Practice Address - Street 1:333 W. CORDOVA RD. STE 100
Practice Address - Street 2:THERAPY SOLUTIONS LLC
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505
Practice Address - Country:US
Practice Address - Phone:505-984-9101
Practice Address - Fax:505-984-8998
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant