Provider Demographics
NPI:1730847872
Name:CAMMON, AARON (PT, NC, CES)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:CAMMON
Suffix:
Gender:M
Credentials:PT, NC, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29465 WHITE RD
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44092-1456
Mailing Address - Country:US
Mailing Address - Phone:216-882-8926
Mailing Address - Fax:
Practice Address - Street 1:29465 WHITE RD
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44092-1456
Practice Address - Country:US
Practice Address - Phone:216-882-8926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1190371941171400000X, 2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness Coach