Provider Demographics
NPI:1518986165
Name:WOLFE, AARON T (ATC)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:T
Last Name:WOLFE
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2740
Mailing Address - Country:US
Mailing Address - Phone:763-238-8550
Mailing Address - Fax:
Practice Address - Street 1:115 FLANDERS RD STE 130
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1083
Practice Address - Country:US
Practice Address - Phone:763-238-8550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN17462255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer