Mr Timothy R Ickes, MPT | |
1509 W Main St Ste 201, Milton, WV 25541-1105 | |
(304) 743-6995 | |
(304) 743-5778 |
Full Name | Mr Timothy R Ickes |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1509 W Main St Ste 201, Milton, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588854954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT001895 (West Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy R Ickes, MPT Po Box 687, Greenup, KY 41144-0687 Ph: (606) 473-1080 | Mr Timothy R Ickes, MPT 1509 W Main St Ste 201, Milton, WV 25541-1105 Ph: (304) 743-6995 |
Mr. Brandon Beacom, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 W Main St, Suite 201, Milton, WV 25541 Phone: 304-733-9560 Fax: 304-733-1141 | |
Physical Therapy Of Milton Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 W Main St, Suite 201, Milton, WV 25541 Phone: 304-743-6995 Fax: 304-473-5778 |