Healthcare Provider Details

I. General information

NPI: 1497375216
Provider Name (Legal Business Name): AARON YEARSLEY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2020
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 MERTON MINTER ST
SAN ANTONIO TX
78229-4404
US

IV. Provider business mailing address

1776 N MOUNTAIN VIEW CT
WASHINGTON UT
84780-4807
US

V. Phone/Fax

Practice location:
  • Phone: 435-773-5330
  • Fax:
Mailing address:
  • Phone: 435-773-5330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberU9396
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: