Healthcare Provider Details
I. General information
NPI: 1457361354
Provider Name (Legal Business Name): AARON CHRISTOPHER MARTIN M.S.P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/09/2006
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7280 LAGAE RD STE E
CASTLE PINES CO
80108-9454
US
IV. Provider business mailing address
7280 LAGAE RD STE E&F
CASTLE PINES CO
80108-9452
US
V. Phone/Fax
- Phone: 303-221-7272
- Fax: 303-221-7273
- Phone: 720-523-8460
- Fax: 720-523-8465
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 8224 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: