Provider Demographics
NPI:1205725306
Name:RICHMOND, AARON (LMT)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:RICHMOND
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 GREAT LAKES CIR W APT H
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-3740
Mailing Address - Country:US
Mailing Address - Phone:816-284-4403
Mailing Address - Fax:
Practice Address - Street 1:11405 N PENN ST STE 102
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-6905
Practice Address - Country:US
Practice Address - Phone:816-284-4403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INMT22508665225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist