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NPI Code Detail

MEDICARE: AARON SOMERHALDER PT

MEDICARE: AARON SOMERHALDER 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
1225100000XPhysical Therapist2351NV

General Provider Information

NPI Number : 1922239516
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON SOMERHALDER PT
Provider Business Mailing Address
First Line : 3233 W CHARLESTON BLVD
Second Line : SUITE 107
City : LAS VEGAS
State : NV
Zip : 89102-1938
Country : US
Telephone Number : 702-522-1785
Fax Number : 702-522-1785
Provider Business Practice Location Address
First Line : 3233 W. CHARLESTON BLVD
Second Line : SUITE 107
City : LAS VEGAS
State : NV
Zip : 89102-1923
Country : US
Telephone Number : 702-522-1785
Fax Number : 702-522-1785
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2009
Last Update Date : 11/12/2010

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Directions to “ AARON SOMERHALDER PT” Practice Location

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