Individual
JENNIFER MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
106 W MAIN ST, SOPHIA, WV 25921-1627
(304) 683-6123
Mailing address
105 CREEKVIEW DR, BECKLEY, WV 25801-8350
(304) 890-6020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1269
WV
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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