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NPI Code Detail

MEDICARE: AARON J LOWRY SPT

MEDICARE: AARON J LOWRY SPT
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
1225100000XPhysical Therapist6985171-2401UT

General Provider Information

NPI Number : 1407010283
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON J LOWRY SPT
Provider Business Mailing Address
First Line : 5151 S 900 E 100
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84117-6658
Country : US
Telephone Number : 801-261-3321
Fax Number : 801-261-5942
Provider Business Practice Location Address
First Line : 5151 S 900 E 100
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84117-6658
Country : US
Telephone Number : 801-261-3321
Fax Number : 801-261-5942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2008
Last Update Date : 01/07/2022

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