Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aemon James Kolasienski, PT

Individual provider Licensed Psychiatric Technician · NPI 1306597174

Aemon James Kolasienski, PT is a Licensed Psychiatric Technician in San Luis Obispo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2178 Johnson Ave
San Luis Obispo, CA 93401-4535
Phone: (805) 781-4711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 41518 (CA)

Record details

NPI number1306597174
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 13, 2022
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022

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