Organization
SHENANDOAH VALLEY PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L RANKIN (BUSINESS MANAGER/OWNER)
(304) 267-0866
Entity
Organization
Contact information
Practice address
302 ROCK CLIFF DR, MARTINSBURG, WV 25401-2838
(304) 267-0866
(304) 267-8348
Mailing address
302 ROCK CLIFF DR, MARTINSBURG, WV 25401-2838
(304) 267-0866
(304) 267-8348
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028075
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710137
BCBS-MT STATE
WV
01
—
0BGGSH
BCBS-CAREFIRST
MD
01
—
1024916
BRICKSTREET
WV
01
—
151474500
US DEPT OF LABOR
WV
01
—
2137778
MAMSI
WV
01
—
224049
CARELINK
WV
05
—
3810005986
—
WV
05
—
415580700
—
MD
01
—
8721526
CIGNA
WV
01
—
9565
BCBS-CAREFIRST
MD
Enumeration date
10/18/2006
Last updated
11/08/2012
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