Healthcare Provider Details

I. General information

NPI: 1740724475
Provider Name (Legal Business Name): AARON SCHEIDIES DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2016
Last Update Date: 12/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 N 113TH ST UNIT A
SEATTLE WA
98133-8502
US

IV. Provider business mailing address

2121 N 113TH ST UNIT A
SEATTLE WA
98133-8502
US

V. Phone/Fax

Practice location:
  • Phone: 248-770-7464
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT60058608
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: