Provider Demographics
NPI:1922028182
Name:PARR, AARON THOMAS (MS, ATC)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:THOMAS
Last Name:PARR
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 FLAT RIVER ST SW
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32908-8132
Mailing Address - Country:US
Mailing Address - Phone:321-953-4933
Mailing Address - Fax:
Practice Address - Street 1:1901 DEGROODT RD SW
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32908-1206
Practice Address - Country:US
Practice Address - Phone:321-956-5000
Practice Address - Fax:321-956-5009
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL 18722255A2300X
TN9102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer