Andrea Nicole Lantz, PTA
Individual provider Active NPI Physical Therapy Assistant · Marmet, WV
NPI 1144532243 · NPPES record last updated Jul 6, 2010
Key facts
- NPI
- 1144532243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 001571 (WV)
- Practice address
- 1 Sutphin Dr
Marmet, WV 25315-1977 - Phone
- (304) 949-2000
- NPI assigned
- Jul 6, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001571 | WV | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 001571 | WV | Yes |
Addresses
Primary practice location
1 Sutphin Dr
Marmet, WV 25315-1977
Mailing address
5312 Lisa CT
#622
Cross Lanes, WV 25313-1283
Phone (304) 838-4046
Other providers in Marmet, WV
- Megan Alyce Jones
- Mitzi Keaton
- Amanda Kennedy
- Chelsea King
- Kroger Limited Partnership I
- Sara Donamae Lively
- Marmet Center Opco, LLC
- Marmet Health Care Center
- Marmet SNF Operations LLC
- Candice Kay Mooney
All providers in Marmet, WV · Physical Therapy Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.