Provider Demographics
NPI:1578282489
Name:LEUENBERGER, AARON JAMES I (CPTA)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:JAMES
Last Name:LEUENBERGER
Suffix:I
Gender:M
Credentials:CPTA
Other - Prefix:
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Mailing Address - Street 1:2514 VINE ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2476
Mailing Address - Country:US
Mailing Address - Phone:785-621-5888
Mailing Address - Fax:785-621-5890
Practice Address - Street 1:2514 VINE ST UNIT 2
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2476
Practice Address - Country:US
Practice Address - Phone:785-621-5888
Practice Address - Fax:785-621-5890
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS14-01794225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant