Provider Demographics
NPI:1558719385
Name:HORRELL, AARON PHILLIP (ATC, EMR)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:PHILLIP
Last Name:HORRELL
Suffix:
Gender:M
Credentials:ATC, EMR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-1404
Mailing Address - Country:US
Mailing Address - Phone:724-747-4806
Mailing Address - Fax:
Practice Address - Street 1:402 BROAD AVE
Practice Address - Street 2:
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012-1404
Practice Address - Country:US
Practice Address - Phone:724-747-4806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer