Joshua Stephen Canterbury, PTA

Individual provider Active NPI Physical Therapy Assistant · Huntington, WV

NPI 1659094191 · NPPES record last updated Sep 20, 2022

Key facts

NPI
1659094191
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
002139 (WV)
Practice address
3944 8TH Street Rd
Huntington, WV 25701-9435
Phone
(304) 617-1291
NPI assigned
Sep 20, 2022
Sex
Male
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
002139WVMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 002139 WV Yes

Addresses

Primary practice location

3944 8TH Street Rd
Huntington, WV 25701-9435

Mailing address

3944 8TH Street Rd
Huntington, WV 25701-9435

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL desktop/tablet

Other providers in Huntington, WV

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

Sources for this page

Verify at the official NPI Registry.