Provider Demographics
NPI:1396049896
Name:BERNHARDT, AIMEE JO (LMT)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:JO
Last Name:BERNHARDT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 DAWN AVE
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-1340
Mailing Address - Country:US
Mailing Address - Phone:717-738-2555
Mailing Address - Fax:717-738-2557
Practice Address - Street 1:904 DAWN AVE
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1340
Practice Address - Country:US
Practice Address - Phone:717-738-2555
Practice Address - Fax:717-738-2557
Is Sole Proprietor?:No
Enumeration Date:2010-12-27
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist