| Andrew Hazelwood, DPT | |
|
3942 Davis Stuart Rd, Ronceverte, WV 24970-0260 | |
| (304) 647-3987 | |
| Not Available |
| Full Name | Andrew Hazelwood |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3942 Davis Stuart Rd, Ronceverte, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790555498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305209656 (Virginia) | Secondary |
| 225100000X | Physical Therapist | PT003549 (West Virginia) | Primary |
| Provider Name | Greenbrier Valley Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619260353 PECOS PAC ID: 3870499957 Enrollment ID: O20031209001137 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Hazelwood, DPT 502 Crowfield Cir, Lewisburg, WV 24901-2262 Ph: (304) 216-8755 | Andrew Hazelwood, DPT 3942 Davis Stuart Rd, Ronceverte, WV 24970-0260 Ph: (304) 647-3987 |
Travis L Mcclintic, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 Davis Stuart Rd, Ronceverte, WV 24970 Phone: 304-647-3987 Fax: 304-647-3990 | |
Mary Elise Mcclintic, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 Davis Stuart Rd, Ronceverte, WV 24970 Phone: 304-647-3987 Fax: 304-647-3990 | |
Sawyer Stapp, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3942 Davis Stuart Rd Ste 3, Ronceverte, WV 24970 Phone: 304-647-3987 | |
Daniel M Davis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 Davis Stuart Rd, Ronceverte, WV 24970 Phone: 304-647-3987 Fax: 304-647-3990 | |
Kelsie R Gillespie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3942 Davis Stuart Rd Ste 3, Ronceverte, WV 24970 Phone: 304-647-3987 Fax: 304-647-3990 | |
Rikinkumar V Patel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 314 Sunset Dr, Ronceverte, WV 24970 Phone: 681-220-0011 | |
Miss Eleane Barboza Dumaguin, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8942 Seneca Trl S, Ronceverte, WV 24970 Phone: 304-645-7474 |