Provider Demographics
NPI:1932094786
Name:BROWELL, AARON DALTON (PT)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:DALTON
Last Name:BROWELL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 SHADY LN
Mailing Address - Street 2:
Mailing Address - City:HYNDMAN
Mailing Address - State:PA
Mailing Address - Zip Code:15545-7707
Mailing Address - Country:US
Mailing Address - Phone:814-979-4584
Mailing Address - Fax:
Practice Address - Street 1:4767 FRANKFORT HWY
Practice Address - Street 2:
Practice Address - City:RIDGELEY
Practice Address - State:WV
Practice Address - Zip Code:26753-7772
Practice Address - Country:US
Practice Address - Phone:304-738-4045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV004856225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist