NPI 1376908517

Ryan Marshall Brabham, PTA

Practitioner Physical Therapy Assistant Spencer, WV

Practice location

Address: 825 Summit St, Spencer, WV 25276-1035
Phone: (304) 927-1007
Mailing address: 1705 Middle Frk, Reedy, WV 25270-9781

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 001519 (WV)

Other Physical Therapy Assistant providers in West Virginia →

Registry record

NPI: 1376908517
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Dec 2015
Record last updated: 15 Dec 2015

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.