Provider Demographics
NPI:1437756640
Name:STRONG, AARON (RNCMT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:STRONG
Suffix:
Gender:M
Credentials:RNCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22531
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-5131
Mailing Address - Country:US
Mailing Address - Phone:510-479-5772
Mailing Address - Fax:
Practice Address - Street 1:4000 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-4239
Practice Address - Country:US
Practice Address - Phone:519-479-5772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60925225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA60925OtherCAMTC