Healthcare Provider Details

I. General information

NPI: 1184695439
Provider Name (Legal Business Name): AARON WHITBECK PERKINS D.C, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 09/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 HAMMOND LN SUITE A
PLATTSBURGH NY
12901-2000
US

IV. Provider business mailing address

87 HAMMOND LN SUITE A
PLATTSBURGH NY
12901-2000
US

V. Phone/Fax

Practice location:
  • Phone: 518-324-6090
  • Fax: 518-324-6091
Mailing address:
  • Phone: 518-324-6090
  • Fax: 518-324-6091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX010884-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number025940-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: