Healthcare Provider Details

I. General information

NPI: 1508103409
Provider Name (Legal Business Name): WORRELL THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2013
Last Update Date: 02/18/2020
Certification Date: 02/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

574 E MAIN ST
INDEPENDENCE VA
24348-3879
US

IV. Provider business mailing address

895 N 6TH ST
WYTHEVILLE VA
24382-1859
US

V. Phone/Fax

Practice location:
  • Phone: 276-733-6287
  • Fax:
Mailing address:
  • Phone: 276-768-7081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BRANDY S RING
Title or Position: OWNER / PHYSICAL THERAPIST
Credential:
Phone: 276-773-8118