Provider Demographics
NPI:1457669756
Name:SHELTON, AARON R (PT, DPT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:R
Last Name:SHELTON
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3138 BRADFORD WOOD CT
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-2738
Mailing Address - Country:US
Mailing Address - Phone:540-998-9188
Mailing Address - Fax:
Practice Address - Street 1:3138 BRADFORD WOOD CT
Practice Address - Street 2:
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-2738
Practice Address - Country:US
Practice Address - Phone:540-998-9188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2014-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305206645225100000X
MD23583225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist