Provider Demographics
NPI:1760352108
Name:WOOLF, AARON TRAVIS
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:TRAVIS
Last Name:WOOLF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5964 MAPLEGROVE AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44641-9580
Mailing Address - Country:US
Mailing Address - Phone:330-904-3647
Mailing Address - Fax:
Practice Address - Street 1:5964 MAPLEGROVE AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:OH
Practice Address - Zip Code:44641-9580
Practice Address - Country:US
Practice Address - Phone:330-904-3647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide