DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. TANYA KAYE CANCADE MPT

MEDICARE: MS. TANYA KAYE CANCADE MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT001849WV
2225100000XPhysical Therapist010898OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00638940OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417907080
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TANYA KAYE CANCADE MPT
Provider Business Mailing Address
First Line : 1605 GRAND CENTRAL AVE
Second Line :
City : VIENNA
State : WV
Zip : 26105-1081
Country : US
Telephone Number : 304-295-7290
Fax Number : 304-295-5922
Provider Business Practice Location Address
First Line : 1605 GRAND CENTRAL AVE
Second Line :
City : VIENNA
State : WV
Zip : 26105-1081
Country : US
Telephone Number : 304-295-7290
Fax Number : 304-295-5922
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 11/01/2022

Similar Medicare Providers

1780690859 — MELISSA JANE STAVRAKIS DPT, OCS
Practice Location Address:
1605 GRAND CENTRAL AVE
VIENNA, WV
26105-1081
Practice Phone: 304-295-7290
Practice Fax: 304-295-5922
1164613782 — MRS. STEPHANIE MARIE FOUTTY MPT, ATC
Practice Location Address:
1605 GRAND CENTRAL AVE
VIENNA, WV
26105-1081
Practice Phone: 304-295-7290
Practice Fax: 304-295-5922
1982893855 — JESSICA LYNN BALSLEY DPT, OCS
Practice Location Address:
1605 GRAND CENTRAL AVE
VIENNA, WV
26105-1081
Practice Phone: 304-295-7290
Practice Fax: 304-295-5922
1982839825 — CHRISTY FLEMING LMT
Practice Location Address:
1605 GRAND CENTRAL AVENUE
VIENNA, WV
26105-1081
Practice Phone: 304-295-5505
Practice Fax: 304-295-0503
1568783892 — CASSIE ABIGAIL COCHRANE PT
Practice Location Address:
1605 GRAND CENTRAL AVE
VIENNA, WV
26105-1081
Practice Phone: 304-295-7290
Practice Fax: 304-295-5922
1033412333 — BRITTANY LYNNE VASS DPT
Practice Location Address:
1605 GRAND CENTRAL AVE
VIENNA, WV
26105-1081
Practice Phone: 304-295-7290
Practice Fax: 304-295-5922

Directions to “ MS. TANYA KAYE CANCADE MPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.