Heather Dawn Camp
Individual provider Active NPI Physical Therapy Assistant · Vienna, WV
NPI 1487347753 · NPPES record last updated Jun 1, 2023
Key facts
- NPI
- 1487347753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 001412 (WV)
- Practice address
- 2200 Grand Central Ave
Vienna, WV 26105-1300 - Phone
- (304) 428-2554
- NPI assigned
- Jun 1, 2023
- 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 |
|---|---|---|---|
| 001412 | WV | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 001412 | WV | Yes |
Addresses
Primary practice location
2200 Grand Central Ave
Vienna, WV 26105-1300
Mailing address
2200 Grand Central Ave Ste 101
Vienna, WV 26105-1300
Phone (304) 428-2554
Other practice location 1
2200 Grand Central Ave
Vienna, WV 26105-1300
Phone (304) 428-2554
Other providers in Vienna, WV
- Crystal Dawn Butcher
- Jasmine Ceira Byers
- Adreanna Cale
- Caitlin Cale
- Stephanie Ann Caltrider
- Tanya Kaye Cancade
- Joy Canterbury
- Lora Cantrell
- Barbara Caplinger
- Debra Lee Caplinger
All providers in Vienna, 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 Jun 1, 2023. 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.