Provider Demographics
NPI:1770990608
Name:KILFOYLE, AARON (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:KILFOYLE
Suffix:
Gender:M
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 N GREENE ST # MS 2050
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99217-5320
Mailing Address - Country:US
Mailing Address - Phone:253-533-8662
Mailing Address - Fax:253-533-8609
Practice Address - Street 1:1810 N GREENE ST # MS 2050
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99217-5320
Practice Address - Country:US
Practice Address - Phone:509-533-8662
Practice Address - Fax:509-533-8609
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAA1-604940192255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer