| Doctor Name: | AARON MICHAEL WILLIS |
| NPI Number: | 1003855776 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 25468 |
| Business Practice Address: | 13163 Fountain Park Dr Suite A Playa Vista, CA - 900942040 |
| Business Phone Number: | 3108232220 |
| Business Fax Number: | 3108232636 |
| Mailing Address: | 13163 Fountain Park Dr, Suite A PLAYA VISTA |
| State: | CA |
| Postal Code: | 900942040 |
| Phone Number: | 3108232220 |
| Fax Number: | 3108232636 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 09/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 25468 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |