Provider Demographics
NPI:1477704534
Name:CALINGO, ARIES S (PT)
Entity Type:Individual
Prefix:
First Name:ARIES
Middle Name:S
Last Name:CALINGO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:801 MACARTHUR BLVD
Mailing Address - Street 2:SUITE 404
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2915
Mailing Address - Country:US
Mailing Address - Phone:219-836-2995
Mailing Address - Fax:219-836-4075
Practice Address - Street 1:9200 CALUMET AVE
Practice Address - Street 2:SUITE N-100
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2885
Practice Address - Country:US
Practice Address - Phone:219-836-9100
Practice Address - Fax:219-836-2361
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2011-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN05004219A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist