NPI 1003500802

Jeff S Lane, PTA

Practitioner Physical Therapy Assistant Anmore, WV

Practice location

Address: 67 Casino Drive Suite 104, Anmore, WV 26323
Phone: (304) 622-2684
Mailing address: 5320 Georgetown Rd, Horner, WV 26372-9687

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 000946 (WV)

Other Physical Therapy Assistant providers in West Virginia →

Registry record

NPI: 1003500802
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2023
Record last updated: 5 Jun 2023

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.