MEDICARE: DR. AARON HACKETT DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	49313302401	UT

General Provider Information

NPI Number	:	1215019567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON HACKETT DPT

Provider Business Mailing Address
First Line	:	1791 W 2300 S
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84119-2009
Country	:	US
Telephone Number	:	801-924-4214
Fax Number	:	801-924-4213

Provider Business Practice Location Address
First Line	:	1791 W 2300 S
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84119-2009
Country	:	US
Telephone Number	:	801-924-4214
Fax Number	:	801-924-4213

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	04/24/2014

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