Provider Demographics
NPI:1689013567
Name:ARANDA, AUSTIN (DPT)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:
Last Name:ARANDA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 SIERRA ROSE DR
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2365
Mailing Address - Country:US
Mailing Address - Phone:775-828-9724
Mailing Address - Fax:775-828-9728
Practice Address - Street 1:615 SIERRA ROSE DR
Practice Address - Street 2:SUITE 2A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2365
Practice Address - Country:US
Practice Address - Phone:775-828-9724
Practice Address - Fax:775-828-9728
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV28392251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVHL035ZMedicare PIN