Organization
WINCHESTER PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY T HUMPHREYS P.T. (PRESIDENT)
(304) 725-3632
Entity
Organization
Contact information
Practice address
112 S REYMANN ST, RANSON, WV 25438-1730
(304) 725-3632
(304) 725-8252
Mailing address
112 S REYMANN ST, RANSON, WV 25438-1730
(304) 725-3632
(304) 725-8252
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00269
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004944
—
WV
05
—
3810004945
—
VA
Enumeration date
09/25/2006
Last updated
03/27/2008
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