Individual
MR. AARON MATTHEW LIBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
(425) 656-5060
(425) 656-5047
Mailing address
4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
(425) 656-5060
(425) 656-5047
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA61223537
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
07/28/2014
Last updated
10/13/2021
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