Aaron Pimentel Gutierrez, LMT, MMP
Individual provider Active NPI Massage Therapist · Oneonta, AL
NPI 1093322604 · NPPES record last updated Sep 28, 2020
Key facts
- NPI
- 1093322604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 4815 (AL)
- Practice address
- 309 2ND Ave E Ste 400
Oneonta, AL 35121-1476 - Phone
- (205) 353-9325
- NPI assigned
- Sep 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4815 | AL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | 4815 | AL | Yes |
Addresses
Primary practice location
309 2ND Ave E Ste 400
Oneonta, AL 35121-1476
Mailing address
309 2ND Ave E Ste 400
Oneonta, AL 35121-1476
Phone (205) 353-9325
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | ClinicSense | Health Information Exchange (HIE) |
Other providers in Oneonta, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.