Individual
AARON W JUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
875 LARRY NEIL WAY, KINGSPORT, TN 37660-6368
(423) 282-9570
Mailing address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6791
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6791
TN MEDICAL LICENSE
TN
Enumeration date
02/21/2020
Last updated
02/21/2020
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