Provider Demographics
NPI:1730521485
Name:ARANETA, LEMUEL VALES (DOCTOR OF PT)
Entity type:Individual
Prefix:MR
First Name:LEMUEL
Middle Name:VALES
Last Name:ARANETA
Suffix:
Gender:M
Credentials:DOCTOR OF PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17303 KILPATRICK CT
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-1090
Mailing Address - Country:US
Mailing Address - Phone:301-800-4552
Mailing Address - Fax:
Practice Address - Street 1:1050 KEY PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4053
Practice Address - Country:US
Practice Address - Phone:301-846-2273
Practice Address - Fax:301-620-2273
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24255225100000X
PAPT024795225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPT024795OtherPENNSYLVANIA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS.
MD24255OtherMARYLAND BOARD OF PHYSICAL THERAPY