Individual
MR. JOHN W STAGGERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
160 N SHERIDAN LANE, KEYSER, WV 26726
(304) 813-7839
(304) 822-4977
Mailing address
160 N SHERIDAN LANE, KEYSER, WV 26726
(304) 813-7839
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001354
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006
CAREFIRST BCBS OF DC NCA
—
05
—
0157287000
—
WV
01
—
1017320
WORKERS COMPENSATION
WV
01
—
225928
MAMSI
—
01
—
53386804
BLUECROSS BLUESHIELD
MD
01
—
650016655
RAILROAD MEDICARE
—
01
—
7178361
AETNA
—
Enumeration date
05/23/2006
Last updated
07/13/2022
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