MEDICARE: AARON BLAKE MONROSE PT

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	11779	LA

General Provider Information

NPI Number	:	1811736739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON BLAKE MONROSE PT

Provider Business Mailing Address
First Line	:	215 STARING LN
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-4064
Country	:	US
Telephone Number	:	225-444-5764
Fax Number	:	225-444-5946

Provider Business Practice Location Address
First Line	:	215 STARING LN
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-4064
Country	:	US
Telephone Number	:	225-444-5764
Fax Number	:	225-444-5946

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

Provider Enumeration Date	:	05/21/2024
Last Update Date	:	05/21/2024

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Directions to “ AARON BLAKE MONROSE PT” Practice Location

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