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Individual

MS. TIFFINEY SHAWN BENTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.,M.S.

Contact information

Practice address
38 W 2ND AVE, WILLIAMSON, WV 25661-3500
(304) 235-9781
(304) 235-9782
Mailing address
141 E 2ND AVE, WILLIAMSON, WV 25661-3601
(304) 235-9781
(304) 235-9782

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
002748
WV
225100000X
Physical Therapist
004678
KY
225100000X
Physical Therapist
Primary
PT002748
WV

Other

Enumeration date
12/04/2007
Last updated
06/28/2023
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