Provider Demographics
NPI:1851880405
Name:MOUREY, AARON MICHAEL
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:MICHAEL
Last Name:MOUREY
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 1:503 S MULLER PKWY APT 301
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-1635
Mailing Address - Country:US
Mailing Address - Phone:715-571-5642
Mailing Address - Fax:
Practice Address - Street 1:503 S MULLER PKWY APT 301
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-1635
Practice Address - Country:US
Practice Address - Phone:715-571-5642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-08
Last Update Date:2019-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer