Provider Demographics
NPI:1841883543
Name:BRUMBAUGH, AARON (DPT)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:BRUMBAUGH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3375 21ST ST
Mailing Address - Street 2:
Mailing Address - City:WYANDOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48192-6010
Mailing Address - Country:US
Mailing Address - Phone:734-272-2317
Mailing Address - Fax:
Practice Address - Street 1:21308 EUREKA RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-5271
Practice Address - Country:US
Practice Address - Phone:734-759-0271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist