Provider Demographics
NPI:1699184028
Name:VANPELT, AARON
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:VANPELT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6562 BRECKENRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-1291
Mailing Address - Country:US
Mailing Address - Phone:775-722-3674
Mailing Address - Fax:
Practice Address - Street 1:224 E WINNIE LN STE 212
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-2251
Practice Address - Country:US
Practice Address - Phone:775-400-7011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner