NPI 1003994054

Fayetteville Physical Therapy & Sports Rehabilitation

Organisation Specialist Fayetteville, WV

Practice location

Address: 233 N Court St, Fayetteville, WV 25840-1233
Phone: (304) 574-1416
Fax: (304) 574-1474

Authorised official

Name: Karen M Brandstetter
Title: Office Manager
Phone: (304) 574-1416

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence WV902 (WV)

Other Specialist providers in West Virginia →

Registry record

NPI: 1003994054
Entity type: Organization
NPI issued: 1 Nov 2006
Record last updated: 8 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.