Healthcare Provider Details

I. General information

NPI: 1972227106
Provider Name (Legal Business Name): JOSH TRUMAN TURLEY PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2022
Last Update Date: 09/30/2022
Certification Date: 09/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5187 US-60 SUITE 13
HUNTINGTON WV
25705
US

IV. Provider business mailing address

50 6TH ST
CULLODEN WV
25510-7569
US

V. Phone/Fax

Practice location:
  • Phone: 304-733-5010
  • Fax:
Mailing address:
  • Phone: 304-563-5763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number002499
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: