Provider Demographics
NPI:1700284064
Name:MILLER, AARON (PT, DPT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:MILLER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 KNOX RD
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-3807
Mailing Address - Country:US
Mailing Address - Phone:603-483-3355
Mailing Address - Fax:603-483-3357
Practice Address - Street 1:143 RAYMOND RD
Practice Address - Street 2:
Practice Address - City:CANDIA
Practice Address - State:NH
Practice Address - Zip Code:03034-2133
Practice Address - Country:US
Practice Address - Phone:603-483-3355
Practice Address - Fax:603-483-3357
Is Sole Proprietor?:No
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3941225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist