Provider Demographics
NPI:1245504505
Name:EMBRY, AARON E (PT, DPT, MSCR)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:E
Last Name:EMBRY
Suffix:
Gender:M
Credentials:PT, DPT, MSCR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4818 CANE POLE LN
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-9044
Mailing Address - Country:US
Mailing Address - Phone:843-792-8198
Mailing Address - Fax:
Practice Address - Street 1:77 PRESIDENT ST BLDG C
Practice Address - Street 2:MSC 700
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-5712
Practice Address - Country:US
Practice Address - Phone:843-792-8198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist