Healthcare Provider Details

I. General information

NPI: 1235062365
Provider Name (Legal Business Name): AARON M FLASH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 BUNTING PL
COVINGTON GA
30014-7066
US

IV. Provider business mailing address

55 BUNTING PL
COVINGTON GA
30014-7066
US

V. Phone/Fax

Practice location:
  • Phone: 207-329-9630
  • Fax:
Mailing address:
  • Phone: 207-329-9630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT018267
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: