IndividualActive
Aaron Degraw
NPI 1184102824 · Physical Therapy Assistant · Pueblo, CO
Provider details
- NPI number
- 1184102824
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PTA.0014452 (CO)
Mailing address
39 Baylor St
Pueblo, CO 81005-1610
Registry dates
- Enumerated
- 2018-08-03
- Last updated
- 2018-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.