Kurtise Wilkes, PT
Individual provider Active NPI Physical Therapist · Gretna, VA
NPI 1811397359 · NPPES record last updated Sep 3, 2014
Key facts
- NPI
- 1811397359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305208901 (VA)
- Practice address
- 1220 W Gretna Rd
Gretna, VA 24557-4087 - Phone
- (434) 656-1274
- NPI assigned
- Sep 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305208901 | VA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305208901 | VA | Yes |
Addresses
Primary practice location
1220 W Gretna Rd
Gretna, VA 24557-4087
Mailing address
1220 W Gretna Rd
Gretna, VA 24557-4087
Phone (434) 656-1274
Other providers in Gretna, VA
- Pamela G. Smith
- Brendle Crews Stone
- Team Nurse II, Inc.
- Briana Denise Tucker-Blunt
- Catherine Marie Van Wyhe
- Karen R Wilkinson
- Karen Ann Wise
- Krystal Shante Woodson
- Kathy S. Worley
- Bradley Thomas Yeatts
All providers in Gretna, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2014. 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.