Provider Demographics
NPI:1659591543
Name:MAYO, AARONDA KAY (ND, PT)
Entity Type:Individual
Prefix:DR
First Name:AARONDA
Middle Name:KAY
Last Name:MAYO
Suffix:
Gender:F
Credentials:ND, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13115 121ST WAY NE STE C
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3051
Mailing Address - Country:US
Mailing Address - Phone:425-821-1800
Mailing Address - Fax:425-821-1818
Practice Address - Street 1:13115 121ST WAY NE STE C
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3051
Practice Address - Country:US
Practice Address - Phone:425-821-1800
Practice Address - Fax:425-821-1818
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT127175F00000X
WY1304225100000X
WANT60505327175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPT00009913OtherLICENSE #
WAPT00009913OtherLICENSE #
WAPT00009913OtherLICENSE #
WA8857296Medicare UPIN