| Dominion Health & Fitness, Inc | |
|
4862 Dickenson Hwy, Clintwood, VA 24228-1810 | |
| (276) 926-4516 | |
| (276) 926-6652 |
| Full Name | Dominion Health & Fitness, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4862 Dickenson Hwy, Clintwood, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871513788 | NPI | - | NPPES |
| 010193885 | Medicaid | VA | |
| 196257 | Other | VA | ANTHEM GROUP PROVIDER # |
| 1201827 | Other | VA | CHA HEALTH PROVIDER # |
| 3782625 | Other | VA | AETNA HEALTHCARE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Health & Fitness, Inc Po Box 1810, Clintwood, VA 24228-1810 Ph: (276) 926-4516 | Dominion Health & Fitness, Inc 4862 Dickenson Hwy, Clintwood, VA 24228-1810 Ph: (276) 926-4516 |
Mr. Edward Lee Trent, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4862 Dickenson Highway, Clintwood, VA 24228 Phone: 276-926-4516 Fax: 276-926-6652 | |
Shelda Cline, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 232 Willis Ln, Clintwood, VA 24228 Phone: 276-393-2286 Fax: 800-830-0937 | |
Mr. Bernard P. Dhas, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4862 Dickenson Hwy, Clintwood, VA 24228 Phone: 276-926-4516 Fax: 276-926-6652 | |
Elizabeth M Newberry, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4862 Dickenson Hwy, Clintwood, VA 24228 Phone: 276-926-4516 | |
Mrs. Sheri L. Adams, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4862 Dickenson Hwy, Clintwood, VA 24228 Phone: 276-926-4516 Fax: 276-926-6652 |