Provider Demographics
NPI:1700412137
Name:HANNIGAN, AARON (PT, DPT, GCS)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:HANNIGAN
Suffix:
Gender:M
Credentials:PT, DPT, GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 STRASSNER DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63144-1872
Mailing Address - Country:US
Mailing Address - Phone:614-636-5999
Mailing Address - Fax:
Practice Address - Street 1:8520 GUNPOWDER RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-2450
Practice Address - Country:US
Practice Address - Phone:859-215-1587
Practice Address - Fax:859-201-1227
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT030070225100000X
OHPT016819225100000X
KY007937225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist