Provider Demographics
NPI:1124235361
Name:TAYLOR, AARON SETH (MS, ATC, LAT)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:SETH
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 STARMONT DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-2808
Mailing Address - Country:US
Mailing Address - Phone:434-429-1590
Mailing Address - Fax:434-797-1807
Practice Address - Street 1:125 EXECUTIVE DR STE A
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-4155
Practice Address - Country:US
Practice Address - Phone:434-793-4711
Practice Address - Fax:434-797-5448
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260005022255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer