Healthcare Provider Details
I. General information
NPI: 1295764587
Provider Name (Legal Business Name): VALLEY THERAPIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2006
Last Update Date: 05/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 LEAKSVILLE RD
LURAY VA
22835-5301
US
IV. Provider business mailing address
200 LEAKSVILLE RD P.O. BOX 48
LURAY VA
22835-5301
US
V. Phone/Fax
- Phone: 540-743-0502
- Fax: 540-743-1525
- Phone: 540-743-0502
- Fax: 540-743-1525
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 11314 |
| License Number State | VA |
VIII. Authorized Official
Name:
BRIAN
PHELPS
Title or Position: CEO/OWNER
Credential:
Phone: 540-843-3280