Amber L Cantley, PTA

Individual provider Active NPI Physical Therapy Assistant · Beckley, WV

NPI 1194777417 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1194777417
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
001165 (WV)
Practice address
9 Yellow Wood Way
Beckley, WV 25801-7126
Phone
(304) 255-2376
Fax
(304) 255-7120
NPI assigned
May 16, 2006
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

LicenseStateTypeSpecialty
001165WVMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 001165 WV Yes

Addresses

Primary practice location

9 Yellow Wood Way
Beckley, WV 25801-7126

Mailing address

9 Yellow Wood Way
Beckley, WV 25801-7126
Phone (304) 255-2376

Other providers in Beckley, WV

All providers in Beckley, WV · Physical Therapy Assistant in West Virginia

Sources for this page

Verify at the official NPI Registry.