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NPI Code Detail

MEDICARE: BELU NUNLEY PT

MEDICARE:   BELU  NUNLEY  PT
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 Therapist000571WV

General Provider Information

NPI Number : 1871961110
Entity Type Code : Individual
Provider Name (Legal Business Name) : BELU NUNLEY PT
Provider Business Mailing Address
First Line : 1306 KANAWHA BLVD E
Second Line :
City : CHARLESTON
State : WV
Zip : 25301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1306 KANAWHA BLVD E
Second Line :
City : CHARLESTON
State : WV
Zip : 25301-3000
Country : US
Telephone Number : 304-353-0319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2015
Last Update Date : 09/03/2015

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Directions to “ BELU NUNLEY PT” Practice Location

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