Healthcare Provider Details

I. General information

NPI: 1437623675
Provider Name (Legal Business Name): AARON CLAY PERRY II AP,MT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2019
Last Update Date: 01/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N US HIGHWAY 441 STE 1704
THE VILLAGES FL
32159-6802
US

IV. Provider business mailing address

1501 N US HIGHWAY 441 STE 1704
THE VILLAGES FL
32159-6802
US

V. Phone/Fax

Practice location:
  • Phone: 352-750-4528
  • Fax:
Mailing address:
  • Phone: 352-750-4528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA25126
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: