NPI 1871047837 · live from the CMS NPI Registry
Brendon Andrew Aitken, PT, DPT
Physical Therapist in Jonesboro, AR. National Provider Identifier 1871047837, active.
NPI record
| NPI | 1871047837 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 2401 Bernard St Ste 3, Jonesboro, AR 72401 |
| Practice phone | 870-761-9909 |
| Mailing address | 6440 Medical Center St Ste 100, Las Vegas, NV 89148 |
| Enumerated | August 8, 2016 |
| Last updated | March 28, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 3729 (NV) |
| Physical Therapist | 225100000X | 09475 (LA) |
| Physical Therapist primary | 225100000X | 4832 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.