MEDICARE: AARON LEMING PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	08811	OR

General Provider Information

NPI Number	:	1225450547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON LEMING PTA

Provider Business Mailing Address
First Line	:	5114 TREVON ST
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97402
Country	:	US
Telephone Number	:	541-870-2986
Fax Number	:

Provider Business Practice Location Address
First Line	:	5114 TREVON ST
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97402-1187
Country	:	US
Telephone Number	:	541-870-2986
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2014
Last Update Date	:	01/07/2014

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Directions to “ AARON LEMING PTA” Practice Location

Language	Start Address	Practice Location

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