MEDICARE: AARON JOHN DRAGONE MSPT, CSCS

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	225100000X	Physical Therapist	002398	KY

General Provider Information

NPI Number	:	1467414599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON JOHN DRAGONE MSPT, CSCS

Provider Business Mailing Address
First Line	:	3063 DANBURY DR
Second Line	:
City	:	FLORENCE
State	:	KY
Zip	:	41042-4771
Country	:	US
Telephone Number	:	859-512-2989
Fax Number	:

Provider Business Practice Location Address
First Line	:	1018 TOWN DR
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	KY
Zip	:	41076-9138
Country	:	US
Telephone Number	:	859-572-0710
Fax Number	:	859-572-0716

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

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	11/24/2014

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