MEDICARE: MR. AARON THOMAS PARR M.S., ATC

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	2255A2300X	Athletic Trainer	AL 1872	FL
2	2255A2300X	Athletic Trainer	910	TN

General Provider Information

NPI Number	:	1922028182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AARON THOMAS PARR M.S., ATC

Provider Business Mailing Address
First Line	:	426 FLAT RIVER ST SW
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32908-8132
Country	:	US
Telephone Number	:	321-953-4933
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 DEGROODT RD SW
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32908-1206
Country	:	US
Telephone Number	:	321-956-5000
Fax Number	:	321-956-5009

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	07/08/2007

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