Healthcare Provider Details

I. General information

NPI: 1538123005
Provider Name (Legal Business Name): TEAYS PHYSICAL THERAPY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3910 TEAYS VALLEY RD
HURRICANE WV
25526-9756
US

IV. Provider business mailing address

3910 TEAYS VALLEY RD
HURRICANE WV
25526-9756
US

V. Phone/Fax

Practice location:
  • Phone: 304-757-7293
  • Fax: 304-757-0574
Mailing address:
  • Phone: 304-757-7293
  • Fax: 304-757-0574

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: CYNTHIA W. SKILES
Title or Position: PRESIDENT
Credential: PT
Phone: 304-757-7293