Individual
AMY KRISTEN RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
130 GOFF MOUNTAIN RD, CROSS LANES, WV 25313-1419
(304) 388-7055
Mailing address
415 MORRIS ST STE 304, CHARLESTON, WV 25301-1853
(304) 388-7783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2509
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006516
—
WV
Enumeration date
09/16/2006
Last updated
05/23/2023
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