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: MR. DERICK PAGE PTA

MEDICARE: MR. DERICK PAGE PTA
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
1225200000XPhysical Therapy Assistant2306001374VA

General Provider Information

NPI Number : 1629270624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DERICK PAGE PTA
Provider Business Mailing Address
First Line : 8132 OLD TAVERN RD
Second Line :
City : ROANOKE
State : VA
Zip : 24019-6807
Country : US
Telephone Number : 540-793-2415
Fax Number :
Provider Business Practice Location Address
First Line : 1330 PRAIRIE AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82009-4842
Country : US
Telephone Number : 307-778-8997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1750321584 — CHEYENNE OPERATIONS LLC
Practice Location Address:
1330 PRAIRIE AVE
CHEYENNE, WY
82009-4842
Practice Phone: 307-778-8997
Practice Fax: 307-778-2912
1548453046 — MARCY LYNN KASSAHN MS OTR/L
Practice Location Address:
1330 PRAIRIE AVE
CHEYENNE, WY
82009-4842
Practice Phone: 307-778-8997
Practice Fax:
1811126451 — MS. DEBORAH URIE LOCKWOOD PT
Practice Location Address:
1330 PRAIRIE AVE
CHEYENNE, WY
82009-4842
Practice Phone: 307-778-8997
Practice Fax:
1457580987 — JAMES M DONELAN PT
Practice Location Address:
1330 PRAIRIE AVE
CHEYENNE, WY
82009-4842
Practice Phone: 307-778-8997
Practice Fax: 307-778-2912
1013148642 — DAVID MICHAEL LUNA PTA
Practice Location Address:
1330 PRAIRIE AVE
CHEYENNE, WY
82009-4842
Practice Phone: 307-778-8997
Practice Fax:
1518278084 — DR. ROBERT EDWARD ORAVEC III M.D.
Practice Location Address:
1330 PRAIRIE AVE
CHEYENNE, WY
82009-4842
Practice Phone: 307-778-8997
Practice Fax: 307-634-3510

Directions to “ MR. DERICK PAGE PTA” 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.