Joshua Key

Individual provider Active NPI Physical Therapist · Coeburn, VA

NPI 1922591882 · NPPES record last updated Jun 14, 2018

Key facts

NPI
1922591882
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
P17913 (NC)
Practice address
118 Mooney Drive
Coeburn, VA 24230
Phone
(276) 393-9247
NPI assigned
Jun 14, 2018
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
P17913NCMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P17913 NC Yes

Addresses

Primary practice location

118 Mooney Drive
Coeburn, VA 24230

Mailing address

118 Mooney Dr
Coeburn, VA 24230

Other providers in Coeburn, VA

All providers in Coeburn, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.