Provider Demographics
NPI:1972826691
Name:ASLIN, KERRY D (MPT)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:D
Last Name:ASLIN
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2074 ANTILLEY RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5209
Mailing Address - Country:US
Mailing Address - Phone:325-690-9700
Mailing Address - Fax:325-690-9704
Practice Address - Street 1:2074 ANTILLEY RD STE 100
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5209
Practice Address - Country:US
Practice Address - Phone:325-690-9700
Practice Address - Fax:325-690-9704
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1175265225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist