Provider Demographics
NPI:1013762996
Name:OSLOWSKI, AARON D (LMT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:D
Last Name:OSLOWSKI
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19177 ISLAND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MORA
Mailing Address - State:MN
Mailing Address - Zip Code:55051-7305
Mailing Address - Country:US
Mailing Address - Phone:320-515-0746
Mailing Address - Fax:
Practice Address - Street 1:20 UNION ST N
Practice Address - Street 2:
Practice Address - City:MORA
Practice Address - State:MN
Practice Address - Zip Code:55051-1326
Practice Address - Country:US
Practice Address - Phone:320-515-0746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist