Trent Boles, | |
3 Western Hills Dr, Parkersburg, WV 26105-8122 | |
(304) 420-1300 | |
Not Available |
Full Name | Trent Boles |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3 Western Hills Dr, Parkersburg, 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 |
---|---|---|---|
1326173816 | NPI | - | NPPES |
000676 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 000676 (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: 1689194755 PECOS PAC ID: 6507832573 Enrollment ID: O20170822000887 |
Mailing Address | Practice Location Address |
---|---|
Trent Boles, 137 Karen Street, Washington, WV 26181 Ph: (304) 863-0651 | Trent Boles, 3 Western Hills Dr, Parkersburg, WV 26105-8122 Ph: (304) 420-1300 |
Ann K Greer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3503 Hamilton Ct, Parkersburg, WV 26104 Phone: 304-485-6895 Fax: 304-485-6895 | |
Bermae Casalan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2113 Park Ave Ste 203, Parkersburg, WV 26101 Phone: 304-422-9293 | |
Chloe Snyder, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 417 Grand Park Dr Ste 203, Parkersburg, WV 26105 Phone: 304-422-9293 | |
Judith Anne Hatcher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 723 Summers St, Parkersburg, WV 26101 Phone: 304-428-5573 | |
William Betkoski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Western Hills Dr, Parkersburg, WV 26105 Phone: 304-420-1300 | |
Dylan Stansberry, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1212 Garfield Ave Ste 200, Parkersburg, WV 26101 Phone: 304-865-6778 | |
Alexander Dale Midcap, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 417 Grand Park Dr Ste 203, Parkersburg, WV 26105 Phone: 304-422-9293 |