Provider Demographics
NPI:1689044489
Name:SIZEMORE, AARON (LMT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:SIZEMORE
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8293 JOHN STEELE RD
Mailing Address - Street 2:
Mailing Address - City:ROBARDS
Mailing Address - State:KY
Mailing Address - Zip Code:42452-9526
Mailing Address - Country:US
Mailing Address - Phone:270-860-0688
Mailing Address - Fax:
Practice Address - Street 1:4627 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-2605
Practice Address - Country:US
Practice Address - Phone:502-449-7834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYBMTMTH00220868225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist