Provider Demographics
NPI:1710324587
Name:PERTNER, AARON HENRY (DPT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:HENRY
Last Name:PERTNER
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 1:7018 CEDAR PINES CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3155
Mailing Address - Country:US
Mailing Address - Phone:937-234-7972
Mailing Address - Fax:
Practice Address - Street 1:7018 CEDAR PINES CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3155
Practice Address - Country:US
Practice Address - Phone:937-234-7972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT014315225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2187155Medicaid
OHAB7360731OtherMEDICARE PIN