| |
390 John Raine Dr, Rainelle, WV 25962-1462 | |
(304) 438-9225 | |
(304) 438-9226 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 390 John Raine Dr, Rainelle, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194154237 | NPI | - | NPPES |
9295191 | Other | WV | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 932184, Atlanta, GA 31193-4912 Ph: () - | 390 John Raine Dr, Rainelle, WV 25962-1462 Ph: (304) 438-9225 |
Dr. Gregory Stuart Syvertson, PT, DPT, CFT,CCI Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 John Raine Dr, Rainelle, WV 25962 Phone: 304-438-9225 Fax: 304-438-9226 |