Healthcare Provider Details

I. General information

NPI: 1588592331
Provider Name (Legal Business Name): MITCHELL AARONS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 CAREW ST
SPRINGFIELD MA
01104-2330
US

IV. Provider business mailing address

83 WOOD AVE
EAST LONGMEADOW MA
01028-1518
US

V. Phone/Fax

Practice location:
  • Phone: 413-735-1360
  • Fax:
Mailing address:
  • Phone: 413-302-0444
  • Fax: 413-302-0444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA27950
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: