Anna Thompson

Individual provider Active NPI Physical Therapy Assistant · Fort Gay, WV

NPI 1609596808 · NPPES record last updated Aug 30, 2022

Key facts

NPI
1609596808
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
001854 (WV)
Practice address
220 Paddle Creek Rd
Fort Gay, WV 25514-7377
Phone
(304) 544-3506
NPI assigned
Aug 30, 2022
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
001854WVMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 001854 WV Yes

Addresses

Primary practice location

220 Paddle Creek Rd
Fort Gay, WV 25514-7377

Mailing address

220 Paddle Creek Rd
Fort Gay, WV 25514-7377

Other providers in Fort Gay, WV

All providers in Fort Gay, WV · Physical Therapy Assistant in West Virginia

Sources for this page

Verify at the official NPI Registry.