Provider Demographics
NPI:1265163000
Name:BROWER, AARON JEFFREY DANIEL (PTA)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:JEFFREY DANIEL
Last Name:BROWER
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N 2450 E APT 804
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-5422
Mailing Address - Country:US
Mailing Address - Phone:435-609-0356
Mailing Address - Fax:
Practice Address - Street 1:5820 CARMEL RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-8106
Practice Address - Country:US
Practice Address - Phone:704-544-4979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant