Richard A Gandee Ii, DPT | |
117 W. Wagner Street, Ellenboro, WV 26346-0328 | |
(304) 869-3888 | |
(304) 869-3444 |
Full Name | Richard A Gandee Ii |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 117 W. Wagner Street, Ellenboro, 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 |
---|---|---|---|
1619368669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT003287 (West Virginia) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669138806 PECOS PAC ID: 6507832573 Enrollment ID: O20220301000927 |
Mailing Address | Practice Location Address |
---|---|
Richard A Gandee Ii, DPT 415 36th St, Suite 100, Parkersburg, WV 26101-1005 Ph: (304) 202-3560 | Richard A Gandee Ii, DPT 117 W. Wagner Street, Ellenboro, WV 26346-0328 Ph: (304) 869-3888 |
Wesley Kirk Eades, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 W. Wagner Street, Ellenboro, WV 26346 Phone: 304-869-3888 Fax: 304-869-3444 | |
Sherri Denise Wells, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 117 W Wagner St, Ellenboro, WV 26346 Phone: 304-869-3888 Fax: 304-869-3444 | |
Nicole Deann Sleeth, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 West Wagner Street, Ellenboro, WV 26346 Phone: 304-869-3888 Fax: 304-869-3888 |