Whalio Doctors

NPI 1093395394

Thomas Ryan Short, LPTALMT

Practitioner Physical Therapy Assistant Woodbridge, VA

Practice location

Address
1936 Opitz Blvd STE a, Woodbridge, VA 22191-3360
Phone
(540) 841-4443
Mailing address
4060 Westwind Dr, Woodbridge, VA 22193-5168

Registered specialties (2)

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306605845 (VA)
Massage Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0019011669 (VA)

Registry record

NPI
1093395394
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Apr 2021
Record last updated
11 Apr 2021

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.