MEDICARE: AARON BORAAS 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	13078	MN

General Provider Information

NPI Number	:	1497449722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON BORAAS DPT

Provider Business Mailing Address
First Line	:	304 17TH ST W
Second Line	:
City	:	GLENCOE
State	:	MN
Zip	:	55336-1156
Country	:	US
Telephone Number	:	320-241-3503
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 39TH AVE NE STE 220
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55421-5052
Country	:	US
Telephone Number	:	612-672-7100
Fax Number	:

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

Provider Enumeration Date	:	06/08/2023
Last Update Date	:	06/08/2023

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Directions to “ AARON BORAAS DPT” Practice Location

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