Healthcare Provider Details

I. General information

NPI: 1699005306
Provider Name (Legal Business Name): IRONTON PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2009
Last Update Date: 12/17/2019
Certification Date: 12/17/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8985 OHIO RIVER RD
WHEELERSBURG OH
45694-1923
US

IV. Provider business mailing address

2700 GREENUP AVE
ASHLAND KY
41101-1953
US

V. Phone/Fax

Practice location:
  • Phone: 740-456-6666
  • Fax: 740-456-6660
Mailing address:
  • Phone: 606-324-0540
  • Fax: 606-324-0616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. BEVERLY S RITCHEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 606-324-0540