Basic Information
Provider Information
NPI: 1689013567
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARANDA
FirstName: AUSTIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
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Mailing Information
Address1: 615 SIERRA ROSE DR
Address2: SUITE 2A
City: RENO
State: NV
PostalCode: 895112365
CountryCode: US
TelephoneNumber: 7758289724
FaxNumber: 7758289728
Practice Location
Address1: 615 SIERRA ROSE DR
Address2: SUITE 2A
City: RENO
State: NV
PostalCode: 895112365
CountryCode: US
TelephoneNumber: 7758289724
FaxNumber: 7758289728
Other Information
ProviderEnumerationDate: 06/24/2013
LastUpdateDate: 08/15/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2251X0800XNV2839NVY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic

No ID Information.


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