Provider Demographics
NPI:1902865074
Name:SAGE, AARON DAVID (ATC)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:DAVID
Last Name:SAGE
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:121 BUDLONG ST
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-1941
Mailing Address - Country:US
Mailing Address - Phone:517-264-1520
Mailing Address - Fax:
Practice Address - Street 1:777 KIMOLE LN
Practice Address - Street 2:SUITE 110
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-1478
Practice Address - Country:US
Practice Address - Phone:517-265-0293
Practice Address - Fax:517-264-1681
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer