Provider Demographics
NPI:1467408260
Name:KIRKLAND, ARISTOTLE ONASSIS (MSPT)
Entity Type:Individual
Prefix:MR
First Name:ARISTOTLE
Middle Name:ONASSIS
Last Name:KIRKLAND
Suffix:
Gender:M
Credentials:MSPT
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 5613
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36302-5613
Mailing Address - Country:US
Mailing Address - Phone:334-792-2345
Mailing Address - Fax:334-793-6450
Practice Address - Street 1:1970 REEVES ST
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-5809
Practice Address - Country:US
Practice Address - Phone:334-792-2345
Practice Address - Fax:334-793-6450
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4029225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist