Healthcare Provider Details

I. General information

NPI: 1275375230
Provider Name (Legal Business Name): VIYA PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2024
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W FRANKLIN ST
TROY OH
45373-3209
US

IV. Provider business mailing address

101 W FRANKLIN ST
TROY OH
45373-3209
US

V. Phone/Fax

Practice location:
  • Phone: 937-673-8387
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELISSA LYNN FISHER
Title or Position: OWNER
Credential: DPT
Phone: 937-673-8387