NPI 1477071256

Keyona Nichole White, CTRS

Practitioner Recreation Therapist Charles Town, WV

Practice location

Address: 16 Bushrod CT, Charles Town, WV 25414-4430
Phone: (703) 554-9047

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in West Virginia →

Registry record

NPI: 1477071256
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2017
Record last updated: 31 Aug 2017

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.