Provider Demographics
NPI:1194121350
Name:HARWARD, AARON AUSTIN (PT DPT)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:AUSTIN
Last Name:HARWARD
Suffix:
Gender:M
Credentials:PT DPT
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Mailing Address - Street 1:340 FALCON RIDGE PKWY
Mailing Address - Street 2:#500
Mailing Address - City:MESQUITE
Mailing Address - State:NV
Mailing Address - Zip Code:89027-8850
Mailing Address - Country:US
Mailing Address - Phone:702-346-3105
Mailing Address - Fax:702-346-3544
Practice Address - Street 1:617 E RIVERSIDE DR STE 303
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-8722
Practice Address - Country:US
Practice Address - Phone:435-673-4303
Practice Address - Fax:435-673-4003
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-14
Last Update Date:2024-09-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV3065225100000X
UT9602025-2401261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV109656Medicare PIN