Provider Demographics
NPI:1467414599
Name:DRAGONE, AARON JOHN (MSPT, CSCS)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:JOHN
Last Name:DRAGONE
Suffix:
Gender:M
Credentials:MSPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3063 DANBURY DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-4771
Mailing Address - Country:US
Mailing Address - Phone:859-512-2989
Mailing Address - Fax:
Practice Address - Street 1:1018 TOWN DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND HEIGHTS
Practice Address - State:KY
Practice Address - Zip Code:41076-9138
Practice Address - Country:US
Practice Address - Phone:859-572-0710
Practice Address - Fax:859-572-0716
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY002398225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist